Organization
MADISON HEALTHCARE SERVICES
Active
Other names
Madison Lutheran Home
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROL M BORGERSON (CFO)
(320) 698-7152
Entity
Organization
Contact information
Practice address
900 2ND AVE, MADISON, MN 56256-1006
(320) 598-7536
(320) 598-3940
Mailing address
900 2ND AVE, MADISON, MN 56256-1006
(320) 598-7536
(320) 598-3940
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
327711
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134242800
—
MN
01
—
8795MA
MN BLUE CROSS BLUE SHIELD
MN
Enumeration date
09/21/2005
Last updated
08/16/2017
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