MIDWAY CARE CENTER INC. (NPI# 1982637617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982637617 |
| Entity Type | Organization |
| Organization Name | MIDWAY CARE CENTER INC. |
| Practice Address |
114 2nd St Ne Fosston MN 56542-1302 |
| Practice Telephone | 2184351272 |
| Practice Fax Number | 2184356336 |
| Mailing Telephone | 2184351272 |
| Mailing Fax Number | 2184356336 |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2009-10-29 |
| Authorized Official Name | MR. ALLEN POTVIN (PRESIDENT) |
| Authorized Official Telephone | 2184356205 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 311Z00000X | Custodial Care Facility | 331269 | MN | Nursing & Custodial Care Facilities |
| Y | 314000000X | Skilled Nursing Facility | 331928 | MN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MEDICA | 7180017 | 01 |
| MN | BLUE CROSS | 9457MI | 01 |
| MN | 298242100 | 05 |
| Street Address |
114 2ND ST NE |
| City | FOSSTON |
| State | MN |
| Zip Code | 56542-1302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114497773 | Bethany Board and Lodge, Inc | Assisted Living Facility | 203 S Inderlee Ave, Fosston, MN 56542 | 2018-11-27 |
| 1942756556 | Bethany Board and Lodge, Inc | Assisted Living Facility | 903 Hilligoss Blvd Se Suite B, Fosston, MN 56542 | 2016-09-01 |
| 1407268642 | Prairie Pines Community | Assisted Living Facility | 903 Praire Pines Drive, Fosston, MN 56542 | 2014-05-22 |
| 1992115737 | Ekenesenarienrien Cynthia Omokaro | Family Medicine | Essentia Health Fosston Clinic, 900 Hilligoss Blvd. Se, Fosston, MN 56542 | 2014-05-02 |
| 1093944456 | Steven G. Lesmeister | Dentist | 105 2nd Street Sw, Mcintosh, MN 56542 | 2009-07-07 |
| 1427122811 | Kristi Lea Widseth | Nurse Anesthetist, Certified Registered | 900 Hilligoss Boulevard Se, Essentia Health Fosston, Fosston, MN 56542 | 2006-11-20 |
| 1184709685 | Todd William Sandwick | Dentist | 418 1st St. W., Fosston, MN 56542 | 2006-10-25 |
| 1487739975 | Kurt Anthony Albright | Dentist | 201 Hillestad Ave. Ne, Fosston, MN 56542 | 2006-10-25 |
| 1376033357 | Mallory Alice Vig | Occupational Therapist | 900 Hilligoss Blvd Se, Fosston, MN 56542 | 2018-05-15 |
| 1558851543 | Nicholas Chandler Woods | Nurse Practitioner | 900 Hilligoss Blvd Se, Fosston, MN 56542 | 2018-05-15 |
| Find all providers in zip 56542 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | 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 reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447333984 | First Care Medical Services | Skilled Nursing Facility | 900 Hilligoss Blvd Se, Fosston, MN 56542-1542 | 2006-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639707177 | Prairie Bluffs Rehabilitation Center LLC | Skilled Nursing Facility | 10300 Hennepin Town Rd, Eden Prairie, MN 55347-5100 | 2020-03-30 |
| 1881221869 | Natalie Sears | Skilled Nursing Facility | 1200 Cheri Ln Ne Apt 5, Fridley, MN 55421-1213 | 2020-03-26 |
| 1396210779 | Southview Operations LLC | Skilled Nursing Facility | 2000 Oakdale Avenue, West St. Paul, MN 55118 | 2018-10-11 |
| 1144707811 | Victory Health Operations, LLC | Skilled Nursing Facility | 512 - 49th Avenue North, Minneapolis, MN 55430-3621 | 2018-07-25 |
| 1710473434 | Cg Care Center, LLC. | Skilled Nursing Facility | 6993 80th Street South, Cottage Grove, MN 55016 | 2018-07-05 |
| 1457863466 | Seasons Healthcare of Trimont, Inc | Skilled Nursing Facility | 305 Broadway Avenue South, Trimont, MN 56176 | 2017-10-31 |
| 1760903157 | St. John's Lutheran Home | Skilled Nursing Facility | 1771 Eagle View Cir, Albert Lea, MN 56007-1817 | 2017-07-06 |
| 1114458221 | Lakeland Homecare LLC | Skilled Nursing Facility | 1604 Covington Ln, Eagan, MN 55122-2759 | 2017-03-22 |
| 1952842197 | Nsh Rochester East LLC | Skilled Nursing Facility | 501 8th Ave Se, Rochester, MN 55904-4834 | 2017-03-20 |
| 1750827234 | Walker Operations LLC | Skilled Nursing Facility | 209 Birchwood Avenue West, Walker, MN 56484 | 2017-01-09 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.