Healthcare Provider Details

I. General information

NPI: 1356321699
Provider Name (Legal Business Name): RANGE REGIONAL HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/20/2006
Last Update Date: 10/03/2023
Certification Date: 10/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 E 34TH ST
HIBBING MN
55746-3553
US

IV. Provider business mailing address

750 E 34TH ST
HIBBING MN
55746-3553
US

V. Phone/Fax

Practice location:
  • Phone: 218-262-4881
  • Fax: 218-362-6163
Mailing address:
  • Phone: 218-262-4881
  • Fax: 218-362-6163

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number331001
License Number StateMN

VIII. Authorized Official

Name: TODD CHRISTENSEN
Title or Position: VP FINANCE
Credential:
Phone: 218-999-1702