Organization
WILLMAR REGIONAL TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROD L. KORNRUMPF (REGIONAL ADMINISTRATOR)
(320) 231-5100
Entity
Organization
Contact information
Practice address
1550 HIGHWAY 71 NE, WILLMAR, MN 56201-9504
(320) 231-5100
(320) 231-5329
Mailing address
1550 HIGHWAY 71 NE, WILLMAR, MN 56201-9504
(320) 231-5100
(320) 231-5329
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1F278WI
BLUE CROSS/BLUE SHIELD
MN
Enumeration date
01/04/2006
Last updated
08/22/2020
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