Healthcare Provider Details

I. General information

NPI: 1497377287
Provider Name (Legal Business Name): AITKIN COMMUNITY HOSPITAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2020
Last Update Date: 08/24/2022
Certification Date: 08/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

171 RED OAK DR
AITKIN MN
56431-7432
US

IV. Provider business mailing address

200 BUNKER HILL DR
AITKIN MN
56431-1865
US

V. Phone/Fax

Practice location:
  • Phone: 218-429-4344
  • Fax: 218-429-4345
Mailing address:
  • Phone: 218-429-3992
  • Fax: 218-927-5551

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: KRISTINA SORENSON
Title or Position: PIC
Credential:
Phone: 218-429-4344