State Operated Forensic Nursing Services

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

339700 Issued in MN

Legal business name

STATE OPERATED FORENSIC NURSING SERVICES

Practice address

100 Freeman Dr
Saint Peter, MN 56082-3504

Phone

(507) 931-7166

Fax

(507) 931-7275

NPI assigned

Apr 7, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Michelle Borden Chalin, LNHA

Title

Administrator

Phone

(507) 931-7166

Specialties & licenses 1

Addresses

Other names 1

• State Operated Forensic Services - St Peter Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1207526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1730352204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 FREEMAN DR",
            "city": "SAINT PETER",
            "state": "MN",
            "postal_code": "560823504",
            "telephone_number": "507-931-7166",
            "fax_number": "507-931-7275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 FREEMAN DR",
            "city": "SAINT PETER",
            "state": "MN",
            "postal_code": "560823504",
            "telephone_number": "507-931-7166",
            "fax_number": "507-931-7275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OPERATED FORENSIC NURSING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-07",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "CHALIN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "BORDEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "507-931-7166",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "339700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "State Operated Forensic Services - St Peter",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Skilled Nursing Facility in Saint Peter, MN
• Providers in Saint Peter, MN by specialty
• Skilled Nursing Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.