Provider Demographics
NPI:1922502418
Name:HARRY MEYERING CENTER, INC.
Entity Type:Organization
Organization Name:HARRY MEYERING CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ICF PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:
Authorized Official - Last Name:BRITZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-387-8281
Mailing Address - Street 1:109 HOMESTEAD RD
Mailing Address - Street 2:
Mailing Address - City:MANKATO
Mailing Address - State:MN
Mailing Address - Zip Code:56001-5741
Mailing Address - Country:US
Mailing Address - Phone:507-387-8281
Mailing Address - Fax:
Practice Address - Street 1:2050 HAUGHTON AVE
Practice Address - Street 2:
Practice Address - City:NORTH MANKATO
Practice Address - State:MN
Practice Address - Zip Code:56003-1416
Practice Address - Country:US
Practice Address - Phone:507-387-8281
Practice Address - Fax:507-625-9948
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-20
Last Update Date:2018-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1629133889Medicaid