Organization
ECUMEN
Active
Other names
Ecumen North Branch
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS HARRISON (CFO)
(651) 766-4300
Entity
Organization
Contact information
Practice address
5379 383RD ST, NORTH BRANCH, MN 55056-4962
(651) 237-3000
(651) 674-5745
Mailing address
5379 383RD ST, NORTH BRANCH, MN 55056-4962
(651) 237-3000
(651) 674-5745
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
331134
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
533840900
—
MN
01
—
7122648
MEDICA
MN
01
—
8812GR
BLUE PLUS
MN
01
—
NH0347
UCARE
MN
Enumeration date
02/05/2007
Last updated
04/22/2026
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