NPIMap

Organization Active NPI

Clearwater Health Services

Doing business as Greensview Care Center

  • Skilled Nursing Facility
  • Bagley, MN
National Provider Identifier
1952529323
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
8810995 Issued in MN
Legal business name
CLEARWATER HEALTH SERVICES
Doing business as
Greensview Care Center
Practice address
416 7TH St NE
Bagley, MN 56621
Phone
(218) 694-6552
NPI assigned
Apr 23, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Bonnie Anderson
Title
Ceo
Phone
(218) 694-6501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 8810995 MN Primary

Addresses

Primary practice location

416 7TH St NE
Bagley, MN 56621

Mailing address

416 7 St NE
Bagley, MN 56621
Phone (218) 694-6552

Other names 1

  • Greensview Care Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Clearwater Cnty Mem Hosp Phcy3 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

416 7th St NE
Bagley, MN 56621
Phone (218) 444-3151

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952529323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 7 ST NE",
            "city": "BAGLEY",
            "state": "MN",
            "postal_code": "56621",
            "telephone_number": "218-694-6552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 7TH ST NE",
            "city": "BAGLEY",
            "state": "MN",
            "postal_code": "56621",
            "telephone_number": "218-694-6552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARWATER HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "218-694-6501",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "8810995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greensview Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bagley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.