Healthcare Provider Details

I. General information

NPI: 1831173756
Provider Name (Legal Business Name): CUYUNA REGIONAL MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2005
Last Update Date: 05/04/2017
Certification Date:
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: 218-546-4645
Mailing address:
  • Phone: 218-546-7000
  • Fax: 218-546-4645

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number327437
License Number StateMN

VIII. Authorized Official

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