Provider Demographics
NPI:1043396781
Name:FOLEY HEALTH CARE INC
Entity type:Organization
Organization Name:FOLEY HEALTH CARE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:HUHTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:320-968-6201
Mailing Address - Street 1:253 PINE ST
Mailing Address - Street 2:
Mailing Address - City:FOLEY
Mailing Address - State:MN
Mailing Address - Zip Code:56329-9000
Mailing Address - Country:US
Mailing Address - Phone:320-968-6201
Mailing Address - Fax:320-968-7051
Practice Address - Street 1:253 PINE ST
Practice Address - Street 2:
Practice Address - City:FOLEY
Practice Address - State:MN
Practice Address - Zip Code:56329-9000
Practice Address - Country:US
Practice Address - Phone:320-968-6201
Practice Address - Fax:320-968-7051
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-27
Last Update Date:2016-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN331901314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN781843200Medicaid
245325Medicare Oscar/Certification