Organization Name: | PINE MEDICAL CENTER |
NPI Number: | 1205043841 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL DENIS HEDRIX (PRESIDENT/ADMINISTRATOR) |
Mailing Address: | 109 Court Ave S Sandstone |
State: | MN US |
Postal Code: | 550725120 |
Phone Number: | 3202452212 |
Fax Number: | 3202453251 |
NPI Enumeration Date: | 05/16/2007 |
NPI Last Update Date: | 10/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 275N00000X |
License Number: | 361349 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Hospital Units |
Taxonomy Classification: | Medicare Defined Swing Bed Unit |
Taxonomy Specialization: | |
Taxonomy Definition: | A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |