NPI 1326072406 · live from the CMS NPI Registry
Divine Providence Health Center INC
Skilled Nursing Facility in Ivanhoe, MN. National Provider Identifier 1326072406, active.
NPI record
| NPI | 1326072406 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 312 East George Street, Ivanhoe, MN 56142 |
| Practice phone | 507-694-1414 |
| Enumerated | July 11, 2006 |
| Last updated | July 21, 2022 |
| Authorized official | Mary Swanson, Administrator |
| Other names | Divine Providence Health Center |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | 331605 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.