Organization
CLARKFIELD CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE EHRENBERG (ADMINISTRATOR)
(320) 669-7561
Entity
Organization
Contact information
Practice address
805 5TH ST, CLARKFIELD, MN 56223-1348
(320) 669-7561
(320) 669-7409
Mailing address
805 5TH ST, CLARKFIELD, MN 56223-1348
(320) 669-7561
(320) 669-7409
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
331614
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24-5551
MEDICARE
MN
01
—
4544CL
BC
MN
05
—
908340500
—
MN
01
—
NH0290
UCARE
MN
Enumeration date
07/06/2006
Last updated
10/04/2022
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