Provider Demographics
NPI:1104864149
Name:THRO COMPANY
Entity Type:Organization
Organization Name:THRO COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:C
Authorized Official - Last Name:THRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-625-8741
Mailing Address - Street 1:PO BOX 1236
Mailing Address - Street 2:
Mailing Address - City:MANKATO
Mailing Address - State:MN
Mailing Address - Zip Code:56002-1236
Mailing Address - Country:US
Mailing Address - Phone:507-625-8741
Mailing Address - Fax:507-387-4838
Practice Address - Street 1:202 LACLAIRE ST BOX 60
Practice Address - Street 2:LAKE CRYSTAL HEALTH CARE CENTER
Practice Address - City:LAKE CRYSTAL
Practice Address - State:MN
Practice Address - Zip Code:56055-0060
Practice Address - Country:US
Practice Address - Phone:507-726-2669
Practice Address - Fax:507-726-2185
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN330597314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN24-5505Medicare ID - Type UnspecifiedPROVIDER ID