Organization
REGINA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
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
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
566245100
—
MN
01
—
CD5135
RAILROAD MEDICARE
MN
Enumeration date
07/18/2006
Last updated
04/09/2013
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