Organization · Type 2 NPI

Jourdain Perpich Extended Care Center Inc

Skilled Nursing Facility · Red Lake, MN

NPI number 1275577959 Active

Practice location

24856 Hospital Drive
Red Lake, MN 56671-0399

Fax (218) 679-3434

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	None listed

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

NPI record

NPI: 1275577959
Entity type: Organization (Type 2)
Issued: Jun 15, 2006
Last updated: Apr 22, 2021
Status: Active

Other names

<unavail>
Jourdain/perpich Extended Care Center · doing business as
Jourdain/perpich Extended Care Center · doing business as

Authorized official

Nicolai Kurtis Berg, LNHA
Administrator
(218) 679-3400

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1275577959

Jourdain Perpich Extended Care Center Inc's National Provider Identifier is 1275577959, issued on Jun 15, 2006. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Red Lake, MN. The record was last updated on Apr 22, 2021.