GLENCOE REGIONAL HEALTH SERVICES; NPI #1508885633

Contact Information

GLENCOE REGIONAL HEALTH SERVICES

1805 HENNEPIN AVE N
GLENCOE, MN 55336-1416

Phone: 320-864-7716
Fax: 320-864-7186
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Critical Access	282NC0060X	A0[7]	Critical Access Hospital
Institutional Pharmacy	3336I0012X	58	Medical Supply Company with Pharmacist
Pharmacy	333600000X	58	Medical Supply Company with Pharmacist

Indicates primary specialty

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NPI Profile & details for GLENCOE REGIONAL HEALTH SERVICES

NPI # 1508885633

LBN Legal business name GLENCOE REGIONAL HEALTH SERVICES

Authorized official JULIE LESKE - (CREDENTIALING COORDINATOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/19/2006

Last updated 02/25/2019 - About 7 years ago

Identifiers

MN	License #	201001
MN	Medicaid	909545400
	Other	2144023	PK

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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GLENCOE REGIONAL HEALTH SERVICES

Contact Information

Specialty

Critical Access

Institutional Pharmacy

Pharmacy

NPI Profile & details for GLENCOE REGIONAL HEALTH SERVICES

Reviews for GLENCOE REGIONAL HEALTH SERVICES