# GRANT REGIONAL HEALTH CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GRANT REGIONAL HEALTH CENTER
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1114248820
- **Legal business name:** GRANT REGIONAL HEALTH CENTER
- **Authorized official:** DAWN M. BANDY (CFO)
- **Authorized official phone:** (608) 723-3202

## Contact information

- **Practice address:** 507 S MONROE ST, LANCASTER, WI 53813-2054
- **Practice address phone:** (608) 723-2143
- **Mailing address:** 6501 CITY WEST PKWY, EDEN PRAIRIE, WI 55344-3248
- **Mailing address phone:** (952) 653-2565

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 06/16/2010
- **Last updated:** 09/05/2014