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GRACEVILLE HEALTH CENTER NPI 1134188907


NPI Information

NPI: 1134188907
Provider Name: GRACEVILLE HEALTH CENTER

Doing Business As: ESSENTIA HEALTH - HOLY TRINITY HOSPITAL

Classification: Medicare Defined Swing Bed Unit - 275N00000X
Entity Type: Organization

CLIA Number: 24D0715456

Address:
115 W 2ND ST
GRACEVILLE, MN
ZIP 56240
Phone: (320) 748-7223
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GRACEVILLE HEALTH CENTER is a medicare defined swing bed unit in Graceville, MN. The provider is a unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. GRACEVILLE HEALTH CENTER NPI is 1134188907. The provider is registered as an organization entity type.
The provider Is Doing Business As Essentia Health - Holy Trinity Hospital.

The provider's business location address is:

115 W 2ND ST
GRACEVILLE, MN
ZIP 56240-803
Phone: (320) 748-7223
Fax: (320) 748-7225

The provider's authorized official is Alan Hurley .
The authorized official title is Coo and has the following contact phone number (701) 364-7667.

The CLIA number assigned to this NPI record is 24D0715456 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/21/2006 and was last updated on 2/29/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1275N00000XMedicare Defined Swing Bed Unit330901MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1854545600MEDICAIDMINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.