Fairway View Senior Community

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

331965 Issued in MN

Legal business name

FAIRWAY VIEW SENIOR COMMUNITY

Practice address

215 Lundell Avenue
Ortonville, MN 56278

Phone

(320) 839-2397

Fax

(320) 839-2398

NPI assigned

Mar 16, 2007

Last updated

Jun 25, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Bonnie Dybdahl

Title

Housing Manager

Phone

(320) 839-2397

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1740304963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 LUNDELL AVENUE",
            "city": "ORTONVILLE",
            "state": "MN",
            "postal_code": "56278",
            "telephone_number": "320-839-2397",
            "fax_number": "320-839-2398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 LUNDELL AVENUE",
            "city": "ORTONVILLE",
            "state": "MN",
            "postal_code": "56278",
            "telephone_number": "320-839-2397",
            "fax_number": "320-839-2398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRWAY VIEW SENIOR COMMUNITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "DYBDAHL",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_title_or_position": "HOUSING MANAGER",
        "authorized_official_telephone_number": "320-839-2397",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "331965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIMEWEST",
            "identifier": "050606005",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "861473300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Corinne Dohman
• Tracy Lynn Dozak, NP-C
• Dr Ronn McDaniel PA
• Stephen Thomas Erlandson, DPT
• Fairway View of Senior Community
• Neil Feist, P.T.
• Kayla Jo Findlay, PT
• Sarah Fischer, MD
• Granite Falls Eyecare, Inc (Ortonville Family Eyecare)
• Chance Haugen

• Assisted Living Facility in Ortonville, MN
• Providers in Ortonville, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.