NPI 1023724838
State of Minnesota-Minnesota Management and Budget
Practice location
- Address
- 920 Anne Street N.W., Bemidji, MN 56601-5104
- Phone
- (218) 308-2759
- Mailing address
- 5101 Minnehaha Ave, Minneapolis, MN 55417-1647
Authorised official
- Name
- Casie Knoshal
- Title
- Mdva Healthcare Operations Director
- Phone
- (651) 396-6260
Registered specialties
Skilled Nursing Facility
Primary
Registry record
- NPI
- 1023724838
- Entity type
- Organization
- NPI issued
- 25 Jan 2023
- Record last updated
- 9 Jan 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.