Organization
REGINA MEDICAL CENTER
Active
Parent organization
REGINA MEDICAL CENTER
Other names
Regina Medical Center Psych Unit
Organization subpart
Yes
Provider details
NPI number
Legal business name
REGINA MEDICAL CENTER
Authorized official
MR. TY W. ERICKSON (CEO)
(651) 404-1450
Entity
Organization
Contact information
Practice address
1175 NININGER RD, HASTINGS, MN 55033-1056
(651) 480-4100
(651) 480-4212
Mailing address
1175 NININGER RD, HASTINGS, MN 55033-1056
(651) 480-4100
(651) 480-4212
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
566245100
—
MN
01
—
CD5135
RR MEDICARE
MN
Enumeration date
07/17/2006
Last updated
04/09/2013
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