Organization
FOREST HEALTH SERVICES INC.
Active
Other names
Cornerstone Villa
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBRA S DOUGHTY (ADMINISTRATOR PRESIDENT)
(218) 258-8742
Entity
Organization
Contact information
Practice address
1000 FOREST ST, BUHL, MN 55713-0724
(218) 258-8742
(218) 258-8767
Mailing address
1000 FOREST ST, PO BOX 724, BUHL, MN 55713-0724
(218) 258-8742
(218) 258-8767
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
333238
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5R32CO
BCBS PROVIDER NUMBER
MN
01
—
71 00447
MEDICA PROVIDER NUMBER
MN
05
—
884696100
—
MN
01
—
NH0510
UCARE PROVIDER NUMBER
MN
Enumeration date
01/19/2007
Last updated
09/25/2013
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