Provider Demographics
NPI:1275611162
Name:THREE LINKS HEALTH SERVICES
Entity Type:Organization
Organization Name:THREE LINKS HEALTH SERVICES
Other - Org Name:THREE LINKES CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:A
Authorized Official - Last Name:RAW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:320-589-4917
Mailing Address - Street 1:815 FOREST AVE
Mailing Address - Street 2:
Mailing Address - City:NORTHFIELD
Mailing Address - State:MN
Mailing Address - Zip Code:55057-1643
Mailing Address - Country:US
Mailing Address - Phone:507-664-8800
Mailing Address - Fax:507-645-0942
Practice Address - Street 1:815 FOREST AVE
Practice Address - Street 2:
Practice Address - City:NORTHFIELD
Practice Address - State:MN
Practice Address - Zip Code:55057-1643
Practice Address - Country:US
Practice Address - Phone:507-664-8800
Practice Address - Fax:507-645-0942
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNHFID-00564314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN770343100Medicaid