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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