Organization
AUGUSTANA DASSEL LAKESIDE COMMUNITY HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEELOCHANI STADTHERR (DIRECTOR OF REIMBURSEMENT)
(952) 855-5041
Entity
Organization
Contact information
Practice address
439 WILLIAM AVE E, DASSEL, MN 55325-1102
(320) 275-3308
Mailing address
439 WILLIAM AVE E, PO BOX 383, DASSEL, MN 55325-1102
(320) 275-3308
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
335267
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
314182000
—
MN
Enumeration date
07/18/2007
Last updated
03/13/2020
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