Provider Demographics
NPI:1467525162
Name:HEALTHPARTNERS RC
Entity Type:Organization
Organization Name:HEALTHPARTNERS RC
Other - Org Name:OLIVIA HOSPITAL & CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BLAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:320-523-3575
Mailing Address - Street 1:100 HEALTHY WAY
Mailing Address - Street 2:
Mailing Address - City:OLIVIA
Mailing Address - State:MN
Mailing Address - Zip Code:56277-1117
Mailing Address - Country:US
Mailing Address - Phone:320-523-1261
Mailing Address - Fax:320-523-8349
Practice Address - Street 1:100 HEALTHY WAY
Practice Address - Street 2:
Practice Address - City:OLIVIA
Practice Address - State:MN
Practice Address - Zip Code:56277-1117
Practice Address - Country:US
Practice Address - Phone:320-523-3477
Practice Address - Fax:320-523-3458
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEALTHPARTNERS RC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-11-17
Last Update Date:2020-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN331046275N00000X
MN275N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes275N00000XHospital UnitsMedicare Defined Swing Bed Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX072262101Medicaid
MN268517500Medicaid
MI404706548Medicaid
SD5529420Medicaid
WI80617900Medicaid
ND2457Medicaid
MN502347500Medicaid
OKH4160068805Medicaid
MI304706539Medicaid
TX072262101Medicaid
WI80617900Medicaid
ND2457Medicaid
24Z306Medicare Oscar/Certification