Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
EDGEWOOD BLAINE LLC
Active
Organization
EDGEWOOD BLAINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD DALE WHETTER (VP OF FINANCE/BUDGET)
(701) 757-5465
Entity
Organization
Contact information
Practice address
12450 CLOUD DR NE, BLAINE, MN 55449-6226
(763) 754-1723
(763) 754-1728
Mailing address
322 DEMERS AVE, SUITE 500, GRAND FORKS, ND 58201-4754
(701) 757-5465
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
29791
MN
310400000X
Assisted Living Facility
29941
MN
Other
Enumeration date
01/15/2014
Last updated
01/15/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up