Healthcare Provider Details

I. General information

NPI: 1902862592
Provider Name (Legal Business Name): REGIONAL HEALTH CENTER OF RICHMOND, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2006
Last Update Date: 11/30/2023
Certification Date: 11/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

307 IVY AVE SE
RICHMOND MN
56368
US

IV. Provider business mailing address

307 IVY AVE SE
RICHMOND MN
56368
US

V. Phone/Fax

Practice location:
  • Phone: 320-597-8999
  • Fax: 320-597-8995
Mailing address:
  • Phone: 320-597-8999
  • Fax: 320-597-8995

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number003166
License Number StateMN

VIII. Authorized Official

Name: JENNIFER ANDREA LOUREY
Title or Position: PRESIDENT/OWNER
Credential: DC
Phone: 203-210-1663