Willmar Commons Nursing & Rehabilitation, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

9613190 Issued in MN

Legal business name

WILLMAR COMMONS NURSING & REHABILITATION, INC.

Practice address

500 Russell St NW
Willmar, MN 56201-2583

Phone

(320) 235-3181

NPI assigned

Aug 26, 2008

Last updated

Oct 22, 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

Mr. Lowell P Thompson II

Title

Ceo

Phone

(440) 937-6201

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224633600000",
    "number": "1912154527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 RUSSELL ST NW",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562012583",
            "telephone_number": "320-235-3181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 RUSSELL ST NW",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562012583",
            "telephone_number": "320-235-3181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLMAR COMMONS NURSING & REHABILITATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-26",
        "last_updated": "2008-10-22",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "LOWELL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "440-937-6201",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "9613190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Willmar Foot & Ankle Clinic
• Willmar Hearing Aid Center Inc

• Skilled Nursing Facility in Willmar, MN
• Providers in Willmar, MN by specialty
• Skilled Nursing Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.