Healthcare Provider Details

I. General information

NPI: 1790909083
Provider Name (Legal Business Name): AITKIN COMMUNITY HOSPITAL INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2007
Last Update Date: 02/17/2022
Certification Date: 02/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27278 STATE HWY 18
GARRISON MN
56450
US

IV. Provider business mailing address

200 BUNKER HILL DR
AITKIN MN
56431
US

V. Phone/Fax

Practice location:
  • Phone: 320-525-3401
  • Fax: 218-927-5551
Mailing address:
  • Phone: 218-927-2121
  • Fax: 218-927-5551

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License NumberPENDING
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number StateMN

VIII. Authorized Official

Name: KENNETH A WESTMAN
Title or Position: CEO
Credential:
Phone: 218-927-5501