Organization Active NPI

Paynesville Area Hospital District

Doing business as Washburne Court

  • Assisted Living Facility
  • Paynesville, MN
National Provider Identifier
1811955164
Registry record updated Mar 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
PAYNESVILLE AREA HOSPITAL DISTRICT
Doing business as
Washburne Court
Practice address
311 Washburne Ave
Paynesville, MN 56362-1658
Phone
(320) 243-7451
Fax
(320) 243-3764
NPI assigned
May 3, 2006
Last updated
Mar 29, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2010

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

Authorized official

Name
Bobbe Teigen
Title
Ceo
Phone
(320) 243-3767

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

311 Washburne Ave
Paynesville, MN 56362-1658

Mailing address

311 Washburne Ave
Paynesville, MN 56362-1658
Phone (320) 243-7451

Other identifiers 1

IdentifierTypeStateIssuer
228648300MedicaidMN

Other names 1

  • WASHBURNE COURT Doing business as

National Provider Directory

National Provider Directory
Tax ID family
700 Stearns Place3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

311 Washburne Ave
Paynesville, MN 56362
Phone (320) 243-7451

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269820800000",
    "number": "1811955164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 WASHBURNE AVE",
            "city": "PAYNESVILLE",
            "state": "MN",
            "postal_code": "563621658",
            "telephone_number": "320-243-7451",
            "fax_number": "320-243-3764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 WASHBURNE AVE",
            "city": "PAYNESVILLE",
            "state": "MN",
            "postal_code": "563621658",
            "telephone_number": "320-243-7451",
            "fax_number": "320-243-3764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAYNESVILLE AREA HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2010-03-29",
        "status": "A",
        "authorized_official_last_name": "TEIGEN",
        "authorized_official_first_name": "BOBBE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "320-243-3767"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "228648300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WASHBURNE COURT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paynesville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; 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.