Organization
GLACIAL RIDGE HOSPITAL DISTRICT
Active
Other names
GLACIAL RIDGE HOMECARE
Organization subpart
No
Provider details
NPI number
Authorized official
KIRK STENSRUD (CEO)
(320) 634-2208
Entity
Organization
Contact information
Practice address
10 4TH AVE SE, GLENWOOD, MN 56334-1820
(320) 634-4521
(320) 634-2262
Mailing address
10 4TH AVE SE, GLENWOOD, MN 56334-1820
(320) 634-4521
(320) 634-2262
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
330414
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1652AGL
BLUE CROSS
MN
05
—
341-547-300
—
MN
01
—
5900242
MEDICA
—
Enumeration date
08/07/2006
Last updated
07/02/2010
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