Organization
CITY OF CLARA CITY
Active
Other names
Clara City Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW N BLUM (ADMINISTRATOR)
(320) 847-7216
Entity
Organization
Contact information
Practice address
1012 DIVISION STREET NORTH, CLARA CITY, MN 56222-0797
(320) 847-2221
(320) 847-3553
Mailing address
1012 DIVISION ST N, CLARA CITY, MN 56222-1141
(320) 847-7216
(320) 847-3553
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
335473
MN
314000000X
Skilled Nursing Facility
Primary
352428
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0B50CL
BCBS PROVIDER NUMBER
MN
05
—
454040900
—
MN
01
—
NH0229
UCARE PROVIDER NUMBER
MN
Enumeration date
09/07/2006
Last updated
09/19/2024
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