Organization
RICE MEMORIAL HOSPITAL
Active
Other names
Rice Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM FENSKE (CFO)
(320) 231-4009
Entity
Organization
Contact information
Practice address
1801 WILLMAR AVE SW, WILLMAR, MN 56201-2882
(320) 214-2700
(320) 214-2765
Mailing address
1801 WILLMAR AVE SW, WILLMAR, MN 56201-2882
(320) 214-2700
(320) 214-2765
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
330432
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1015450
PREFERRED ONE PROVIDER
—
05
—
585219600
—
MN
01
—
71-11840
MEDICA PROVIDER NUMBER
—
01
—
8659CH
BLUE CROSS OF MINNESOTA
—
01
—
NH0214
UCARE PROVIDER NUMBER
—
Enumeration date
05/11/2006
Last updated
05/03/2010
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