Organization Active NPI

City of Trimont

  • Skilled Nursing Facility
  • Trimont, MN
National Provider Identifier
1740235506
Registry record updated Feb 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
541743100MedicaidMN

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.