County of Renville

Organization Active NPI Non-Pharmacy Dispensing Site · Olivia, MN

NPI 1003214149 · NPPES record last updated Feb 13, 2019

Key facts

NPI
1003214149
Entity type
Organization (NPI type 2)
Primary specialty
Non-Pharmacy Dispensing Site 332900000X
Legal business name
COUNTY OF RENVILLE
Practice address
100 Healthy Way
Olivia, MN 56277-1117
Phone
(320) 523-3477
NPI assigned
Dec 5, 2014
Organization subpart
Yes
Parent organization (as reported)
COUNTY OF RENVILLE

Authorized official

Name
Nathan Blad
Title
Ceo
Phone
(320) 523-3477

Corporate family (same tax ID) 3

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Renville Co Hospital (4 organizations share this tax ID)
Part of
Renville Co Hospital

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Yes

Addresses

Primary practice location

100 Healthy Way
Olivia, MN 56277-1117

Mailing address

6501 City West Pkwy
Eden Prairie, MN 55344-3248
Phone (952) 653-2525

Other names

  • Renville County Hospital - Hector Clinic Other name

Other providers in Olivia, MN

All providers in Olivia, MN · Non-Pharmacy Dispensing Site in Minnesota

Sources for this page

Verify at the official NPI Registry.