PERHAM HOSPITAL DISTRICT NPI 1407843691

NPI Information

NPI: 1407843691
Provider Name: PERHAM HOSPITAL DISTRICT
Classification: Home Health - 251E00000X
Entity Type: Organization
Doing Business As: PERHAM LIVING HOME CARE
CLIA Number: 24D0946164
Address: 735 3RD STREET SW
PERHAM, MN
ZIP 56573
Phone: (218) 347-1880

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NPI Details

PERHAM HOSPITAL DISTRICT is a home health in Perham, MN. The provider is a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. PERHAM HOSPITAL DISTRICT NPI is 1407843691. The provider is registered as an organization entity type.
The provider Is Doing Business As Perham Living Home Care.

The provider's business location address is:

735 3RD STREET SW
PERHAM, MN
ZIP 56573-108
Phone: (218) 347-1880
Fax: (218) 347-1885

The provider's authorized official is Justine Anderson .
The authorized official title is Vp Of Finance and has the following contact phone number (218) 347-1306.

The CLIA number assigned to this NPI record is 24D0946164 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/3/2005 and was last updated on 1/27/2022.

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
1	261QA0600X	Clinic/Center	Adult Day Care			No
2	251E00000X	Home Health		HFID - 03870	MINNESOTA	Yes

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
1	211047400	MEDICAID	MINNESOTA
2	60-13038	OTHER	MINNESOTA	MEDICA
3	1808	OTHER	MINNESOTA	BLUE CROSS/BLUE SHIELD

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: 11/21/2025

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