Organization
NORTH CITIES HEALTH CARE, INC
Active
Parent organization
NORTH CITIES HEALTH CARE, INC
Other names
Park River Estates Care Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTH CITIES HEALTH CARE, INC
Authorized official
MR. THOMAS DALE POLLOCK N.H.A. (ADMINISTRATOR)
(763) 757-2320
Entity
Organization
Contact information
Practice address
9899 AVOCET ST NW, COON RAPIDS, MN 55433-6413
(763) 757-2320
(763) 757-6946
Mailing address
9899 AVOCET ST NW, COON RAPIDS, MN 55433-6413
(763) 757-2320
(763) 757-6946
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
324795
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
426040600
—
MN
01
—
7100243
MEDICA PRIMARY
MN
01
—
7122589
MEDICA CHOICE
MN
01
—
9685PA
BLUE CROSS & BLUE SHIELD
MN
01
—
NH0263
UCARE
MN
Enumeration date
05/24/2005
Last updated
07/14/2008
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