Healthcare Provider Details

I. General information

NPI: 1255363438
Provider Name (Legal Business Name): CUYUNA REGIONAL MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 11/19/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 HEARTWOOD DR
CROSBY MN
56441-5601
US

IV. Provider business mailing address

500 HEARTWOOD DR
CROSBY MN
56441-5601
US

V. Phone/Fax

Practice location:
  • Phone: 218-546-7000
  • Fax: 218-546-4645
Mailing address:
  • Phone: 218-546-7000
  • Fax: 218-546-4645

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number329842
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number329842
License Number StateMN

VIII. Authorized Official

Name: KATIE BERG
Title or Position: CFO
Credential:
Phone: 218-546-7000