Organization
GLENCOE REGIONAL HEALTH SERVICES
Active
Organization
GLENCOE REGIONAL HEALTH SERVICES
Active
Other names
Glencoe Regional Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE LESKE (CREDENTIALING COORDINATOR)
(320) 864-7994
Entity
Organization
Contact information
Practice address
1805 HENNEPIN AVE N, GLENCOE, MN 55336-1416
(320) 864-7716
(320) 864-7186
Mailing address
1805 HENNEPIN AVE N, GLENCOE, MN 55336-1416
(320) 864-7716
(320) 864-7186
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
—
—
333600000X
Pharmacy
—
—
3336I0012X
Institutional Pharmacy
201001
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2144023
PK
—
05
—
909545400
—
MN
Enumeration date
07/19/2006
Last updated
02/25/2019
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