Organization
GRANT REGIONAL HEALTH CENTER, INC.
Active
Parent organization
GRANT REGIONAL HEALTH CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
GRANT REGIONAL HEALTH CENTER
Authorized official
DAWN M. BANDY (CFO)
(608) 723-3202
Entity
Organization
Contact information
Practice address
507 S MONROE ST, LANCASTER, WI 53813-2054
(608) 723-2143
Mailing address
6501 CITY WEST PKWY, EDEN PRAIRIE, WI 55344-3248
(952) 653-2565
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
06/16/2010
Last updated
09/05/2014
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