Organization
PARK NICOLLET METHODIST HOSPITAL
Active
Other names
PN Methodist Hospital Episodic Bundle
Organization subpart
No
Provider details
NPI number
Authorized official
JASON JAMES LUHRS (VP FINANCE)
(952) 883-7158
Entity
Organization
Contact information
Practice address
6500 EXCELSIOR BLVD, ST LOUIS PARK, MN 55426-4702
(952) 993-5000
Mailing address
PO BOX 1488, MINNEAPOLIS, MN 55480-1488
(952) 993-1990
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
371016
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
407345200
—
MN
Enumeration date
07/27/2015
Last updated
10/25/2021
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