Healthcare Provider Details
I. General information
NPI: 1538143896
Provider Name (Legal Business Name): CUYUNA REGIONAL MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/01/2005
Last Update Date: 01/04/2022
Certification Date: 01/04/2022
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
- Phone: 218-546-7000
- Fax: 218-546-4645
- Phone: 218-546-7000
- Fax: 218-546-4645
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 282NC0060X |
| Taxonomy | Critical Access Hospital |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KATIE
BERG
Title or Position: CFO
Credential:
Phone: 218-546-7000