Organization
ECUMEN
Active
Other names
Emmanuel Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT R RIDDLE (VP OF FINANCE)
(651) 766-4300
Entity
Organization
Contact information
Practice address
600 S DAVIS AVE, LITCHFIELD, MN 55355-3431
(320) 693-2472
(320) 693-2242
Mailing address
3530 LEXINGTON AVE N, SHOREVIEW, MN 55126-8166
(651) 766-4300
(651) 766-4479
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
356845
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03080201701
PRIME WEST
—
05
—
134543500
—
MN
01
—
31895
HEALTH PARTNERS
—
01
—
7122534
MEDICA
—
01
—
8766EM
BLUE CROSS BLUE SHIELD
MN
01
—
NH0033
UCARE
MN
Enumeration date
07/29/2006
Last updated
11/08/2012
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