| Organization Name: | GLACIAL RIDGE HOSPITAL DISTRICT |
| NPI Number: | 1134134877 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KIRK STENSRUD (CEO) |
| Mailing Address: | 10 4th Ave Se Glenwood |
| State: | MN US |
| Postal Code: | 563341820 |
| Phone Number: | 3206344521 |
| Fax Number: | 3206342262 |
| NPI Enumeration Date: | 07/30/2006 |
| NPI Last Update Date: | 08/23/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 330166 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |