Active NPI
City of Trimont
- Skilled Nursing Facility
- Trimont, MN
National Provider Identifier
1740235506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- CITY OF TRIMONT
- Practice address
- 303 Broadway Ave S
Trimont, MN 56176 - Phone
- (507) 639-2381
- Fax
- (507) 639-3775
- NPI assigned
- May 23, 2006
- Last updated
- Feb 25, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Cindy R. Verschelde
- Title
- Administrator
- Phone
- (507) 639-2381
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | MN | Primary |
Addresses
Primary practice location
303 Broadway Ave S
Trimont, MN 56176
Mailing address
303 Broadway Ave S
Trimont, MN 56176
Phone (507) 639-2381
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 541743100 | Medicaid | MN |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1298592000000",
"number": "1740235506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 BROADWAY AVE S",
"city": "TRIMONT",
"state": "MN",
"postal_code": "56176",
"telephone_number": "507-639-2381",
"fax_number": "507-639-3775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 BROADWAY AVE S",
"city": "TRIMONT",
"state": "MN",
"postal_code": "56176",
"telephone_number": "507-639-2381",
"fax_number": "507-639-3775"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF TRIMONT",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-23",
"last_updated": "2011-02-25",
"status": "A",
"authorized_official_last_name": "VERSCHELDE",
"authorized_official_first_name": "CINDY",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "507-639-2381",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MN",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "541743100",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Trimont, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.