Provider Demographics
NPI:1306606140
Name:FARMINGTON HEALTH SERVICES
Entity type:Organization
Organization Name:FARMINGTON HEALTH SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:CURTIS
Authorized Official - Middle Name:
Authorized Official - Last Name:BACH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:320-589-4910
Mailing Address - Street 1:3981 240TH AVE
Mailing Address - Street 2:
Mailing Address - City:CLARKFIELD
Mailing Address - State:MN
Mailing Address - Zip Code:56223-3051
Mailing Address - Country:US
Mailing Address - Phone:952-255-9116
Mailing Address - Fax:
Practice Address - Street 1:205 11TH ST
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55024-1809
Practice Address - Country:US
Practice Address - Phone:651-463-7818
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FARMINGTON HEALTH SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-03-20
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility