Provider Demographics
NPI:1346237849
Name:ADAMS HEALTH CARE CENTER
Entity Type:Organization
Organization Name:ADAMS HEALTH CARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:B
Authorized Official - Last Name:SCHMITZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-582-3263
Mailing Address - Street 1:810 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ADAMS
Mailing Address - State:MN
Mailing Address - Zip Code:55909-9764
Mailing Address - Country:US
Mailing Address - Phone:507-582-3263
Mailing Address - Fax:507-582-7793
Practice Address - Street 1:810 W MAIN ST
Practice Address - Street 2:
Practice Address - City:ADAMS
Practice Address - State:MN
Practice Address - Zip Code:55909-9764
Practice Address - Country:US
Practice Address - Phone:507-582-3263
Practice Address - Fax:507-582-7793
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-30
Last Update Date:2010-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN328225314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN015540300Medicaid
MN015540300Medicaid