Organization Name: | ST. CLOUD HOSPITAL |
NPI Number: | 1033391099 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GREGORY R KLUGHERZ (VICE PRESIDENT AND CFO) |
Mailing Address: | 520 Hwy 12 East Suite 6 Litchfield |
State: | MN US |
Postal Code: | 55355 |
Phone Number: | 3202407808 |
Fax Number: | 3202407840 |
NPI Enumeration Date: | 12/03/2007 |
NPI Last Update Date: | 08/27/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QE0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | End-Stage Renal Disease (ESRD) Treatment |
Taxonomy Definition: |