Glencoe Regional Health Services

Key facts

NPI: 1639296221
Entity type: Organization (NPI type 2)
Primary specialty: Non-Pharmacy Dispensing Site 332900000X
Legal business name: GLENCOE REGIONAL HEALTH SERVICES
Practice address: 511 4TH St. North
Winsted, MN 55395
Phone: (952) 653-2525
NPI assigned: Mar 26, 2007
Organization subpart: No

Authorized official

Name: Kristine Knudten
Title: Medical Director
Phone: (952) 653-2525

Corporate family (same tax ID) 3

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

Glencoe Regional Health Services Medicare Defined Swing Bed Hospital Unit · Glencoe, MN · NPI 1194832287

NPD tax ID
Glencoe Regional Health Services Family Medicine Physician · Glencoe, MN · NPI 1851546162

NPD tax ID
Glencoe Regional Health Services Skilled Nursing Facility · Glencoe, MN · NPI 1972610079

NPD tax ID

National Provider Directory

Tax ID family: Glencoe Regional HLTH (4 organizations share this tax ID)

Locations

511 4th St N
Winsted, MN 55395

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Non-Pharmacy Dispensing Site	332900000X			Yes

Addresses

Primary practice location

511 4TH St. North
Winsted, MN 55395

Mailing address

6501 City West Pkwy
Eden Prairie, MN 55344-3248

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639296221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 CITY WEST PKWY",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 4TH ST. NORTH",
            "city": "WINSTED",
            "state": "MN",
            "postal_code": "55395",
            "telephone_number": "952-653-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENCOE REGIONAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KNUDTEN",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "952-653-2525"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winsted, MN

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

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.