Provider Demographics
NPI:1386741684
Name:MADISON HEALTHCARE SERVICES
Entity type:Organization
Organization Name:MADISON HEALTHCARE SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:M
Authorized Official - Last Name:BORGERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:320-698-7152
Mailing Address - Street 1:900 SECOND AVENUE
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:MN
Mailing Address - Zip Code:56256-1006
Mailing Address - Country:US
Mailing Address - Phone:320-598-7551
Mailing Address - Fax:320-598-3470
Practice Address - Street 1:900 SECOND AVENUE
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:MN
Practice Address - Zip Code:56256-1006
Practice Address - Country:US
Practice Address - Phone:320-598-7556
Practice Address - Fax:320-598-3470
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2017-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
MN375556251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN961355200Medicaid
MN125927OtherHOME HEALTH UCARE
MN247111Medicare Oscar/Certification