Provider Demographics
NPI:1629091871
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:320-523-3450
Practice Address - Fax:320-523-8349
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-26
Last Update Date:2020-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN331046282NC0060X, 282NC0060X
MN275N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
No275N00000XHospital UnitsMedicare Defined Swing Bed Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI404706548Medicaid
WI80617900Medicaid
ND2457Medicaid
OKH4160068805Medicaid
MN502347500Medicaid
SD5529420Medicaid
AZ022517Medicaid
TX072262101Medicaid
MN268517500Medicaid
MI304706539Medicaid
MI304706539Medicaid
MN241306Medicare UPIN
WI80617900Medicaid
TX072262101Medicaid
MN24Z306Medicare Oscar/Certification