Healthcare Provider Details

I. General information

NPI: 1417990805
Provider Name (Legal Business Name): NORTHFIELD HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2006
Last Update Date: 12/13/2023
Certification Date: 12/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 NORTH AVE
NORTHFIELD MN
55057
US

IV. Provider business mailing address

2000 NORTH AVE
NORTHFIELD MN
55057
US

V. Phone/Fax

Practice location:
  • Phone: 507-646-1000
  • Fax: 507-646-1392
Mailing address:
  • Phone: 507-646-1000
  • Fax: 507-646-1392

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NR1301X
TaxonomyRural Acute Care Hospital
License Number331047
License Number StateMN

VIII. Authorized Official

Name: ERIC GUTH
Title or Position: CFO
Credential:
Phone: 507-646-1416