Organization
MAPLE GROVE HOSPITAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE R GALE (INTERIM CFO)
(763) 581-4635
Entity
Organization
Contact information
Practice address
9875 HOSPITAL DRIVE, MAPLE GROVE, MN 55369
(763) 581-1612
Mailing address
PO BOX 735465, CHICAGO, IL 60673-5465
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
356238
MINNESOTA STATE LICENSE NUMBER
MN
Enumeration date
04/30/2009
Last updated
12/09/2024
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