Organization · Type 2 NPI

PHS Walnut Ridge LLC

Skilled Nursing Facility · Clive, IA

NPI number 1659920320 Active

Practice location

1703 Campus Drive
Clive, IA 50325

Fax (651) 631-6122

Mailing address

2845 Hamline Ave N
Roseville, MN 55113-7127

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000XNone 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…

About NPI 1659920320

PHS Walnut Ridge LLC's National Provider Identifier is 1659920320, issued on Sep 5, 2019. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Clive, IA. The record was last updated on Nov 11, 2025.