Glacial Ridge Health System
Organization Active NPI Non-Pharmacy Dispensing Site · Glenwood, MN
NPI 1811240336 · NPPES record last updated Oct 22, 2012
Key facts
- NPI
- 1811240336
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Non-Pharmacy Dispensing Site 332900000X
- Legal business name
- GLACIAL RIDGE HEALTH SYSTEM
- Practice address
- 10 4TH Ave SE
Glenwood, MN 56334-1820 - Phone
- (320) 634-5157
- NPI assigned
- Oct 22, 2012
- Organization subpart
- Yes
- Parent organization (as reported)
- GLACIAL RIDGE HEALTH SYSTEM
Authorized official
- Name
- Kirk Stensrud
- Title
- Ceo
- Phone
- (320) 634-4521
Corporate family (same tax ID) 6
National Provider Directory
- Tax ID family
- Belgrade Medical Center
- Part of
- Belgrade Medical Center
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-Pharmacy Dispensing Site | 332900000X | Yes |
Addresses
Primary practice location
10 4TH Ave SE
Glenwood, MN 56334-1820
Mailing address
6501 City West Pkwy
Eden Prairie, MN 55344-3248
Phone (952) 653-2525
Other names
- Glacial Ridge Hospital - Clinic
Other providers in Glenwood, MN
- Raelin McKae Friese
- G E Maher LTD
- Austin Giese
- Glacial Ridge Eye Clinic, Inc.
- Glacial Ridge Health System
- Glacial Ridge Hospital District
- Glacial Ridge Hospital District
- Glacial Ridge Hospital District
- Glacial Ridge Hospital District
- Glacial Ridge Hospital District
All providers in Glenwood, 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 Oct 22, 2012. 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.