Provider Demographics
NPI:1588624332
Name:ADAMS HEALTH CARE CENTER
Entity Type:Organization
Organization Name:ADAMS HEALTH CARE CENTER
Other - Org Name:ADAMS HOME HEALTH AGENCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING AGENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:KRISTA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:KIEFER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-582-3601
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:507-582-3601
Mailing Address - Fax:507-582-3589
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:507-582-3601
Practice Address - Fax:507-582-3589
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-24
Last Update Date:2010-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN346639251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN364355700Medicaid
MN070527001OtherMETROPOLITAN HEALTH PLAN
MN141970OtherUCARE OF MINNESOTA
MN3J94ADOtherBLUE CROSS BLUE SHIELD
MN92460OtherMAYO MANAGEMENT SERVICES
MN364355700Medicaid
MN92460OtherMAYO MANAGEMENT SERVICES
MN247277Medicare ID - Type Unspecified