Edgebrook Care Center in Edgerton - Skilled Nursing Facility

Edgebrook Care Center - NPI 1003893447

Edgebrook Care Center is a Skilled Nursing Facility in Edgerton, Minnesota. Edgebrook Care Center practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Edgebrook Care Center is 1003893447. The last update date is 2012-12-28.

Edgebrook Care Center's current location address is 505 W Trosky Rd, Edgerton, Minnesota. You can contact this provider via phone number 5074427121 and fax number 5074423952. The mailing address for Edgebrook Care Center is 505 W Trosky Rd, Edgerton, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Organization Edgebrook Care Center
Address 505 W Trosky Rd, Edgerton, Minnesota
Phone Number 5074427121
Fax Number 5074423952
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ADMINISTRA
Authorized Official Name Doughty John
Telephone Number 5074427121

NPI Number Detail

NPI Number 1003893447
Provider Enumeration Date 2005-12-28
Last Updated Date 2012-12-28

Provider Mailing Address Detail

Address 505 W Trosky Rd
City Edgerton
State Minnesota (MN)
Post Code 561282748
Phone Number 5074427121
Fax Number 5074423952

Provider's Primary Taxonomy Detail

Speciality Skilled Nursing Facility
Taxonomy 314000000X
Definition:
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
NH0481 MN UCARE
30824003 MN PRIME WEST
7122565 MN EVERCARE-MEDICA
9508ED MN BCBS
767842800 MN --

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FAQs about Edgebrook Care Center

What is the unique 10-digit identifier code issued to Edgebrook Care Center by the Centers for Medicare & Medicaid Services?

The Edgebrook Care Center has been assigned the NPI (National Provider Identifier) 1003893447 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Edgebrook Care Center?

The Edgebrook Care Center is physically situated at 505 W Trosky Rd, in the city of Edgerton, state of MN, with the postal code 561282748.

What is Edgebrook Care Center's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Edgebrook Care Center's specialized field of practice is Skilled Nursing Facility, and the corresponding taxonomy code that categorizes this area of specialization is 314000000X.

On what date did Edgebrook Care Center receive its 1003893447 assignment from the Centers for Medicare & Medicaid Services?

The Edgebrook Care Center was assigned its 1003893447 on 2005-12-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Edgebrook Care Center, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Edgebrook Care Center, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-12-28.

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