NPI 1003893447 · live from the CMS NPI Registry
Edgebrook Care Center
Skilled Nursing Facility in Edgerton, MN. National Provider Identifier 1003893447, active.
NPI record
| NPI | 1003893447 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 505 W Trosky Rd, Edgerton, MN 56128 |
| Practice phone | 507-442-7121 |
| Enumerated | December 28, 2005 |
| Last updated | December 28, 2012 |
| Authorized official | John Doughty, Administrator |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies | 332BN1400X | — |
| Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | 332BP3500X | — |
| Skilled Nursing Facility primary | 314000000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.