Organization Name: | ST. JOSEPH'S AREA HEALTH SERVICES |
NPI Number: | 1730185000 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BETH A FUNK (HOME CARE & HOSPICE MANAGER) |
Mailing Address: | 323 Main Ave S Park Rapids |
State: | MN US |
Postal Code: | 564701550 |
Phone Number: | 2187324552 |
Fax Number: | 2187321273 |
NPI Enumeration Date: | 06/22/2005 |
NPI Last Update Date: | 11/02/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 325631 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |