Organization Active NPI

Sanford Health Network

Doing business as Sanford Adrian Care Center

  • Skilled Nursing Facility
  • Adrian, MN
National Provider Identifier
1770524555
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
330433 Issued in MN
Legal business name
SANFORD HEALTH NETWORK
Doing business as
Sanford Adrian Care Center
Practice address
603 Louisiana Avenue
Adrian, MN 56110
Phone
(507) 483-2668
Fax
(507) 483-2610
NPI assigned
Jun 10, 2006
Last updated
Apr 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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

Authorized official

Name
Ms. Gayle Lynn Funk, LNHA
Title
Administrator
Phone
(507) 483-2668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 330433 MN Primary

Addresses

Primary practice location

603 Louisiana Avenue
Adrian, MN 56110

Mailing address

603 Louisiana Avenue
Adrian, MN 56110
Phone (507) 483-2668

Other names 1

  • Sanford Adrian Care Center Doing business as

National Provider Directory

National Provider Directory

Locations

603 Louisiana Ave
Adrian, MN 56110
Phone (507) 483-2580

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1770524555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 LOUISIANA AVENUE",
            "city": "ADRIAN",
            "state": "MN",
            "postal_code": "56110",
            "telephone_number": "507-483-2668",
            "fax_number": "507-483-2610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 LOUISIANA AVENUE",
            "city": "ADRIAN",
            "state": "MN",
            "postal_code": "56110",
            "telephone_number": "507-483-2668",
            "fax_number": "507-483-2610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANFORD HEALTH NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "FUNK",
        "authorized_official_first_name": "GAYLE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "507-483-2668",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "330433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sanford Adrian Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Adrian, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.