Organization
BENEDICTINE CARE CENTERS
Active
Parent organization
BENEDICTNE HEALTH SYSTEM
Other names
St. Eligius Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
BENEDICTNE HEALTH SYSTEM
Authorized official
DIANNE IKOLA (BUSINESS OFFICE MANAGER)
(218) 628-9113
Entity
Organization
Contact information
Practice address
7700 GRAND AVE, DULUTH, MN 55807-2154
(218) 628-9113
(218) 628-0395
Mailing address
7700 GRAND AVE, DULUTH, MN 55807-2154
(218) 628-9113
(218) 628-0395
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
330883
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
140015
FIRST PLAN
MN
01
—
7111801
MEDICA
MN
05
—
940220900
—
MN
01
—
9733LA
BCBS
MN
01
—
NH0189
UCARE
FM
Enumeration date
03/24/2006
Last updated
06/07/2010
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