BLOSSOM HILL CORPORATION – NPI #1932240314
Clinic/Center

BLOSSOM HILL CORPORATION is an AHC clinic located in MONTGOMERY, MN. NPPES has assigned the NPI number 1932240314 to BLOSSOM HILL CORPORATION on February 09, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI Registry, there are 6 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QM0801X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Mental Health (Including Community Mental Health Center)

The NPI profile was previously updated about 8 years ago on Mar 17, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BLOSSOM HILL CORPORATION below.

NPI Profile for
BLOSSOM HILL CORPORATION

NPI Number
1932240314
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BLOSSOM HILL CORPORATION
Primary location
100 OAK AVE SW
MONTGOMERY, MN 56069-1243
Phone: (507) 364-5312 Fax: (507) 364-5908
6 Other location(s):
445 W Derrynane St
Le Center, MN 56057-1135
Phone: (507) 357-6312
Fax: (507) 364-5908
1291 9th St NE
Montgomery, MN 56069-4303
Phone: (507) 364-5466
Fax: (507) 364-5908
1317 9th St NE
Montgomery, MN 56069-4304
Phone: (507) 364-5050
Fax: (507) 364-5908
301 Juniper Ln NW
Montgomery, MN 56069-4444
Phone: (507) 953-0156
Fax: (507) 364-5908
505 Deer Trl
Montgomery, MN 56069-1436
Phone: (507) 364-5980
Fax: (507) 364-5908
1727 N 5th St
Saint Peter, MN 56082-1641
Phone: (507) 931-5584
Fax: (507) 364-5908
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
PAULA BEULKE
DIRECTOR
Phone: (507) 364-5312
Updated
Identifiers

Identifiers for BLOSSOM HILL CORPORATION

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERMEDICAL ASSISTANCEMN953485000
MEDICAIDMN231653100
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0801X
- Clinic/Center / Mental Health (Including Community Mental Health Center) (Primary)
MN 1072342-1-HCBS
320800000X
- Community Based Residential Treatment Facility, Mental Illness
MN 1044272-1-AFC
310400000X
- Assisted Living Facility
MN 1072346-1-H

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.