Healthcare Provider Details

I. General information

NPI: 1053446021
Provider Name (Legal Business Name): SWIFT COUNTY BENSON HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2007
Last Update Date: 01/21/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1815 WISCONSIN AVE
BENSON MN
56215-1653
US

IV. Provider business mailing address

1815 WISCONSIN AVE
BENSON MN
56215-1653
US

V. Phone/Fax

Practice location:
  • Phone: 320-843-4232
  • Fax: 320-843-1345
Mailing address:
  • Phone: 320-843-4232
  • Fax: 320-843-1345

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JAYNE T THIELKE
Title or Position: CFO
Credential:
Phone: 320-843-4232