| Name: | Pelican Valley Health Center |
| Jurisdiction: | Minnesota |
| Legal type: | Nonprofit Corporation (Domestic) |
| Status: | Active / In Good Standing |
| Date formed: | 09 Apr 1946 (79 years ago) |
| Company Number: | e63028d6-b2d4-e011-a886-001ec94ffe7f |
| File Number: | 4274-NP |
| Registered Office Address: | 211 East Mill Ave, Pelican Rapids, MN 56572, USA |
| ZIP code: | 56572 |
| County: | Otter Tail County |
| Place of Formation: | Minnesota |
| Name | Role | Address |
|---|---|---|
| Marnie Gugisberg | President | 211 E MILL AVE, PELICAN RAPIDS, MN 56572–4249, USA |
| Filing Name | Filing date |
|---|---|
| Registered Office - Nonprofit Corporation (Domestic) | 2018-09-21 |
| Annual Reinstatement - Nonprofit Corporation (Domestic) | 2013-03-14 |
| Involuntary Dissolution - Nonprofit Corporation (Domestic) | 2002-04-17 |
| Registered Office and/or Agent - Nonprofit Corporation (Domestic) | 1990-05-14 |
| Amendment - Nonprofit Corporation (Domestic) | 1966-01-13 |
| Original Filing - Nonprofit Corporation (Domestic) | 1946-04-09 |
| Nonprofit Corporation (Domestic) Business Name (Business Name: Pelican Valley Health Center) | 1946-04-09 |
| Inspection Nr | Report ID | Date Opened | Site Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 314845413 | 0552700 | 2010-09-10 | 211 EAST MILL ST, PELICAN RAPIDS, MN, 56572 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Citation ID | 01001 |
| Citaton Type | Serious |
| Standard Cited | 19100151 C |
| Issuance Date | 2010-09-22 |
| Abatement Due Date | 2010-10-20 |
| Current Penalty | 630.0 |
| Initial Penalty | 900.0 |
| Nr Instances | 3 |
| Nr Exposed | 6 |
| Citation ID | 01002 |
| Citaton Type | Serious |
| Standard Cited | 19100305 B01II |
| Issuance Date | 2010-09-22 |
| Abatement Due Date | 2010-10-20 |
| Current Penalty | 315.0 |
| Initial Penalty | 450.0 |
| Nr Instances | 1 |
| Nr Exposed | 3 |
| Citation ID | 01003 |
| Citaton Type | Serious |
| Standard Cited | 5205086002 |
| Issuance Date | 2010-09-22 |
| Abatement Due Date | 2010-10-20 |
| Current Penalty | 525.0 |
| Initial Penalty | 750.0 |
| Nr Instances | 1 |
| Nr Exposed | 4 |
| Citation ID | 02001 |
| Citaton Type | Other |
| Standard Cited | 19100023 C01 |
| Issuance Date | 2010-09-22 |
| Abatement Due Date | 2010-10-20 |
| Current Penalty | 105.0 |
| Initial Penalty | 150.0 |
| Nr Instances | 1 |
| Nr Exposed | 2 |
| Inspection Type | Planned |
| Scope | Complete |
| Safety/Health | Safety |
| Close Conference | 1984-06-07 |
| Emphasis | L: EM |
| Case Closed | 1985-01-07 |
Violation Items
| Citation ID | 01001 |
| Citaton Type | Serious |
| Standard Cited | 19100304 F05 V |
| Issuance Date | 1984-06-21 |
| Abatement Due Date | 1984-06-24 |
| Current Penalty | 112.0 |
| Initial Penalty | 112.0 |
| Nr Instances | 1 |
| Nr Exposed | 1 |
| Citation ID | 02001 |
| Citaton Type | Other |
| Standard Cited | 17103 A |
| Issuance Date | 1984-06-21 |
| Abatement Due Date | 1984-06-24 |
| Nr Instances | 1 |
| Nr Exposed | 1 |
| Citation ID | 02002 |
| Citaton Type | Other |
| Standard Cited | 19100212 A05 |
| Issuance Date | 1984-06-21 |
| Abatement Due Date | 1984-07-27 |
| Nr Instances | 1 |
| Nr Exposed | 1 |
| Citation ID | 02003 |
| Citaton Type | Other |
| Standard Cited | 19100219 I02 |
| Issuance Date | 1984-06-21 |
| Abatement Due Date | 1984-07-27 |
| Nr Instances | 1 |
| Nr Exposed | 1 |
| Citation ID | 02004 |
| Citaton Type | Other |
| Standard Cited | 19100133 A01 |
| Issuance Date | 1984-06-21 |
| Abatement Due Date | 1984-07-13 |
| Nr Instances | 1 |
| Nr Exposed | 1 |
| Citation ID | 02005 |
| Citaton Type | Other |
| Standard Cited | 19100151 C |
| Issuance Date | 1984-06-21 |
| Abatement Due Date | 1984-07-13 |
| Nr Instances | 1 |
| Nr Exposed | 1 |
| Citation ID | 02006 |
| Citaton Type | Other |
| Standard Cited | 17131 A01 |
| Issuance Date | 1984-06-21 |
| Abatement Due Date | 1984-07-27 |
| Nr Instances | 1 |
| Nr Exposed | 1 |
Date of last update: 27 Sep 2024
Sources: Minnesota's Official State Website
