Organization
COMMUNITY MEMORIAL HOME AT OSAKIS MINN INCORPORATED
Active
Other names
Galeon
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVE BRUCE CARLSON (ADMINISTRATOR)
(320) 859-2142
Entity
Organization
Contact information
Practice address
410 W MAIN ST, OSAKIS, MN 56360-8243
(320) 859-2142
(320) 859-6292
Mailing address
410 W MAIN ST, OSAKIS, MN 56360-8243
(320) 859-2142
(320) 859-6292
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
333635
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030920005
PRIMEWEST
MN
05
—
668340100
—
MN
01
—
71-00435
MEDICA
MN
01
—
9755CO
BLUE CROSS BLUE SHIELD
MN
01
—
NH0438
U-CARE
MN
Enumeration date
01/08/2007
Last updated
12/29/2011
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