Provider Demographics
NPI:1891192746
Name:SPECTRUM HEALTH COMPANIES
Entity Type:Organization
Organization Name:SPECTRUM HEALTH COMPANIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SVP OF FINANCE
Authorized Official - Prefix:MR
Authorized Official - First Name:JON
Authorized Official - Middle Name:
Authorized Official - Last Name:MONACELLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:218-741-3013
Mailing Address - Street 1:2000 SIEGEL BLVD
Mailing Address - Street 2:
Mailing Address - City:EVELETH
Mailing Address - State:MN
Mailing Address - Zip Code:55734-8642
Mailing Address - Country:US
Mailing Address - Phone:218-741-3013
Mailing Address - Fax:218-741-3195
Practice Address - Street 1:2000 SIEGEL BLVD
Practice Address - Street 2:
Practice Address - City:EVELETH
Practice Address - State:MN
Practice Address - Zip Code:55734-8642
Practice Address - Country:US
Practice Address - Phone:218-741-3013
Practice Address - Fax:218-741-3195
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-20
Last Update Date:2014-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN251E00000X, 310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No251E00000XAgenciesHome Health