Organization
PAYNESVILLE AREA HOSPITAL DISTRICT
Active
Other names
KORONIS MANOR
Organization subpart
No
Provider details
NPI number
Authorized official
GREG WILSON (CFO/COO)
(320) 243-3767
Entity
Organization
Contact information
Practice address
200 W 1ST ST, PAYNESVILLE, MN 56362-1445
(320) 243-3767
(320) 243-7519
Mailing address
200 W 1ST ST, PAYNESVILLE, MN 56362-1445
(320) 243-3767
(320) 243-7519
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
330600
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03072202706
PRIMEWEST
—
01
—
3L41PA
BCBS
—
05
—
510675300
—
MN
Enumeration date
05/03/2006
Last updated
06/21/2012
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