NPI 1710924428 · live from the CMS NPI Registry
Community Memorial Hospital Association
Skilled Nursing Facility in Cloquet, MN. National Provider Identifier 1710924428, active.
NPI record
| NPI | 1710924428 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 512 Skyline Blvd, Cloquet, MN 55720 |
| Practice phone | 218-879-4641 |
| Enumerated | June 1, 2006 |
| Last updated | September 5, 2007 |
| Authorized official | Richard Breuer, Ceo/Administrator |
| Other names | Sunnyside Healthcare Center |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | MN331132 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.