Organization
TWEETEN LUTHERAN HEALTHCARE CENTER, INC
Active
Parent organization
GUNDERSEN LUTHERAN HEALTH SYSTEMS, INC
Other names
Gundersen Tweeten Care Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
GUNDERSEN LUTHERAN HEALTH SYSTEMS, INC
Authorized official
TIM SAMUELSON (CEO)
(507) 498-3211
Entity
Organization
Contact information
Practice address
125 5TH AVE SE, SPRING GROVE, MN 55974-1318
(507) 498-3211
(507) 498-3228
Mailing address
125 5TH AVE SE, SPRING GROVE, MN 55974-1318
(507) 498-3211
(507) 498-3228
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
332995
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
068252700
—
MN
01
—
1D30TW
BLUE CROSS BLUE SHIELD MN
MN
Enumeration date
10/17/2006
Last updated
05/01/2013
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