Provider Demographics
NPI:1073285763
Name:COMMUNITY MEMORIAL HOSPITAL & NURSING HOME
Entity Type:Organization
Organization Name:COMMUNITY MEMORIAL HOSPITAL & NURSING HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT OF BUSINESS SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:JOY
Authorized Official - Middle Name:C
Authorized Official - Last Name:HINDT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-346-1245
Mailing Address - Street 1:820 MEMORIAL DRIVE
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55975
Mailing Address - Country:US
Mailing Address - Phone:507-346-1245
Mailing Address - Fax:
Practice Address - Street 1:820 MEMORIAL DRIVE
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:MN
Practice Address - Zip Code:55975
Practice Address - Country:US
Practice Address - Phone:507-346-1245
Practice Address - Fax:507-346-1191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-30
Last Update Date:2021-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health