Organization
SAINT THERESE OF NEW HOPE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAL M SHELANGOSKI (CHIEF FINANCIAL OFFICER)
(952) 283-2204
Entity
Organization
Contact information
Practice address
8000 BASS LAKE RD, NEW HOPE, MN 55428-3118
(763) 531-5093
(763) 531-5411
Mailing address
8000 BASS LAKE RD, NEW HOPE, MN 55428-3118
(763) 531-5093
(763) 531-5411
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
328241
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
269
HEALTH PARTNERS HMO
MN
05
—
712242000
—
MN
01
—
7122592
MEDICA HMO
MN
01
—
8750TH
BLUE CROSS BLUE SHIELD
MN
01
—
NH0055
UCARE HMO
MN
Enumeration date
04/03/2006
Last updated
12/01/2021
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