Organization
BENEDICTINE CARE CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRICIA L BERGIEN (DIRECTOR, REIMBURSEMENT)
(612) 991-6519
Entity
Organization
Contact information
Practice address
1101 BLACK OAK DR, NEW BRIGHTON, MN 55112-8400
(651) 633-1686
(651) 633-5267
Mailing address
1101 BLACK OAK DR, NEW BRIGHTON, MN 55112-8400
(651) 633-1686
(651) 633-5267
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
324150
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
810313500
—
MN
Enumeration date
09/22/2005
Last updated
03/11/2019
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