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