Organization · Type 2 NPI

Centracare Health-Paynesville LLC

Assisted Living Facility · Paynesville, MN

NPI number 1457788994 Active

Practice location

311 Washburne Ave
Paynesville, MN 56362-1658

Call (320) 243-7451 Map

Mailing address

200 W 1st St
Paynesville, MN 56362-1445

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility Primary	310400000X	None listed

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

Another provider at this address

Paynesville Area Hospital DistrictAssisted Living Facility Paynesville, MN NPI 1811955164

Other assisted living facility providers in Paynesville

See all in Paynesville →

NPI record

NPI: 1457788994
Entity type: Organization (Type 2)
Issued: Sep 30, 2013
Last updated: Oct 10, 2019
Status: Active

Other names

<unavail>
Centracare Health - Paynesville Washburne Court · doing business as
Centracare Health - Paynesville Washburne Court · doing business as

Authorized official

Mr. Michael A. Blair
Sr. Vice President and CFO
(320) 255-5665

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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.

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About NPI 1457788994

Centracare Health-Paynesville LLC's National Provider Identifier is 1457788994, issued on Sep 30, 2013. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Paynesville, MN. The record was last updated on Oct 10, 2019.