Organization

Glacial Ridge Hospital District

Critical Access Hospital in Glenwood, MN(View on Map)

Legal Business Name

Glacial Ridge Hospital District

NPI Number

1538178520

NPI Type

Organization

Enumeration Date

08/07/2006

Specialties

(Taxonomies)

Code

282NC0060X
282N00000X

Primary Taxonomy

Yes
No

Licenses

State

Minnesota

License Number

331045

Contact
Information

Purpose

Mailing
Location

Address

10 4TH AVE SE
10 4TH AVE SE

City

Glenwood
Glenwood

State

MN
MN

Postal Code

56334-1820
56334-1820

Country

US
US

Telephone Number

(320) 634-4521
(320) 634-4521

Authorized Official

Name

Kirk Stensrud

Title or Position

CEO

Telephone Number

(320) 634-2208

Identifiers

Identifier

341547300
1652HGL
5008075
80142855

Identifier State

MN
MN
Unknown
Unknown

Identifier Issuer

Unknown
BLUE CROSS
MEDICA
RAILROAD MEDICARE

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 04/07/2022

Provider Address