1457736225 NPI number — LAMBERTON OPERATIONS LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1457736225 NPI number — LAMBERTON OPERATIONS LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LAMBERTON OPERATIONS LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
VALLEY VIEW MANOR HEALTHCARE CENTER
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1457736225
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/26/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
200 9TH AVE E
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LAMBERTON
Provider Business Mailing Address State Name:
MN
Provider Business Mailing Address Postal Code:
56152-1024
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
507-752-7346
Provider Business Mailing Address Fax Number:
718-228-7837

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
200 9TH AVE E
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LAMBERTON
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
56152-1024
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
507-752-7346
Provider Business Practice Location Address Fax Number:
718-228-7837
Provider Enumeration Date:
07/22/2015

Additional Information

Authorized Official

Authorized Official Last Name:
LAHASKY
Authorized Official First Name:
EPHRAM
Authorized Official Middle Name:
M
Authorized Official Title or Position:
MEMBER
Authorized Official Telephone Number:
646-772-3368

Provider Taxonomy Codes

  • Taxonomy code: 314000000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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