Organization
LEGACY SENIOR SERVICES
Active
Other names
Traverse Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC R LUNDE (BOARD MEMBER)
(612) 695-5618
Entity
Organization
Contact information
Practice address
303 7TH ST S, WHEATON, MN 56296-1740
(320) 563-8124
(320) 563-4133
Mailing address
303 7TH ST S, WHEATON, MN 56296-1740
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
00669
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145240100
—
MN
01
—
9264TR
BCBS OF MINNESOTA
MN
Enumeration date
06/20/2005
Last updated
04/09/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us