NPI 1689783987 · live from the CMS NPI Registry
County Of Dodge
Skilled Nursing Facility in Dodge Center, MN. National Provider Identifier 1689783987, active.
NPI record
| NPI | 1689783987 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 702 10th Ave Nw, Dodge Center, MN 55927 |
| Practice phone | 507-374-2578 |
| Mailing address | Po Box 10, 702 - 10th Avenue N.W., Dodge Center, MN 55927 |
| Enumerated | August 30, 2006 |
| Last updated | November 19, 2024 |
| Authorized official | Kelly Ellis, Administrator |
| Other names | Fairview Care Center |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | 331818 (MN) |
| Skilled Nursing Facility | 314000000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.