Healthcare Provider Details

I. General information

NPI: 1033289707
Provider Name (Legal Business Name): CUYUNA REGIONAL MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2006
Last Update Date: 11/07/2022
Certification Date: 11/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 E MAIN ST
CROSBY MN
56441-1645
US

IV. Provider business mailing address

320 E MAIN ST
CROSBY MN
56441-1645
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code275N00000X
TaxonomyMedicare Defined Swing Bed Hospital Unit
License Number328116
License Number StateMN

VIII. Authorized Official

Name: MRS. KATIE BERG
Title or Position: DIRECTOR OF FINANCE
Credential:
Phone: 218-546-7000