NPI 1073897641
Baker Park
Practice location
- Address
- 1000 Anne St NW, Bemidji, MN 56601-5109
- Phone
- (218) 751-0220
- Fax
- (218) 333-6514
- Mailing address
- 1300 Anne St NW, Bemidji, MN 56601-5103
Authorised official
- Name
- Jon F Bergquist
- Title
- Business Office Manager
- Phone
- (218) 333-5514
Registered specialties
Assisted Living Facility
Primary
Registry record
- NPI
- 1073897641
- Entity type
- Organization
- NPI issued
- 30 Sep 2011
- Record last updated
- 23 Apr 2013
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.