- Enrollment id
- O20100429001040
- Enrollment state
- MN
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1346296696
- Multiple npi flag
- N
- Ccn
- 245431
- Associate id
- 2466589007
- Organization name
- VILLAGE OF HAYFIELD
- Doing business as name
- FIELD CREST CARE CENTER
- Organization type structure
- GOVERNMENT
- Proprietary nonprofit
- D
- Nursing home provider name
- FIELD CREST CARE CENTER
- Address line 1
- 318 2ND ST NE
- City
- HAYFIELD
- State
- MN
- Zip code
- 559407501