Organization
BRAINERD STATE HOSPITAL
Active
Organization
BRAINERD STATE HOSPITAL
Active
Parent organization
STATE OF MINNESOTA
Organization subpart
Yes
Provider details
NPI number
Legal business name
STATE OF MINNESOTA
Authorized official
MR. ROD L KORNRUMPF (MENTAL HEALTH ADMIN OFFICER)
(763) 712-4010
Entity
Organization
Contact information
Practice address
11800 STATE HIGHWAY 18, BRAINERD, MN 56401-6250
(218) 828-2201
Mailing address
PO BOX 64979, SAINT PAUL, MN 55164-0979
(651) 431-3691
(651) 431-7505
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
331059
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
087058701
—
MN
Enumeration date
06/01/2006
Last updated
11/18/2008
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