ECUMEN NPI 1871165142

NPI Information

NPI: 1871165142
Provider Name: ECUMEN
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 24D2096260

Address:
1415 MADISON AVE
DETROIT LAKES, MN
ZIP 56501
Phone: (651) 714-0200
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ECUMEN is a hospice care community based in Detroit Lakes, MN. ECUMEN NPI is 1871165142. The provider is registered as an organization entity type.

The provider's business location address is:

1415 MADISON AVE
DETROIT LAKES, MN
ZIP 56501-542
Phone: (651) 714-0200
Fax: (651) 714-0201

The provider's authorized official is Scott Bjerkevedt .
The authorized official title is Vp Of Finance and has the following contact phone number (651) 766-4300.

The CLIA number assigned to this NPI record is 24D2096260 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/15/2021 and was last updated on 7/15/2021.

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	251G00000X	Hospice Care, Community Based				Yes

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

NPI Synchronization or Removal

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