Organization
GGNSC HIBBING LLC
Active
Other names
Golden LivingCenter - Golden Crest
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY A. RASMUSSEN-JONES (SECRETARY)
(479) 201-4835
Entity
Organization
Contact information
Practice address
2413 1ST AVE, HIBBING, MN 55746-2101
(218) 262-1081
(218) 262-4976
Mailing address
2413 1ST AVE, HIBBING, MN 55746-2101
(218) 262-1081
(218) 262-4976
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
332031
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115069
HEALTH PARTNERS MN
MN
01
—
245309
SECURITY HEALTH PLAN
MN
01
—
7100279
MEDICA SELECTCARE
MN
01
—
7122508
MEDICA CHOICE
MN
01
—
9R71GG
BLUE CROSS MINNESOTA
MN
01
—
NH0159
UCARE MN
MN
Enumeration date
05/12/2006
Last updated
08/22/2020
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