GLENCOE REGIONAL HEALTH SERVICES (NPI# 1508885633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508885633 |
| Entity Type | Organization |
| Organization Name | GLENCOE REGIONAL HEALTH SERVICES |
| Other Organization Name | GLENCOE REGIONAL HEALTH SERVICES |
| Practice Address |
1805 Hennepin Ave N Glencoe MN 55336-1416 |
| Practice Telephone | 3208647716 |
| Practice Fax Number | 3208647186 |
| Mailing Telephone | 3208647716 |
| Mailing Fax Number | 3208647186 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2019-02-25 |
| Authorized Official Name | JULIE LESKE (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 3208647994 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
201001 | MN | Suppliers |
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2144023 | 01 | |
| MN | 909545400 | 05 |
| Other Name | Type Code |
|---|---|
| Glencoe Regional Health Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851546162 | Glencoe Regional Health Services | Obstetrics & Gynecology | 1805 Hennepin Ave. No., Glencoe, MN 55336-1416 | 2008-12-01 |
| 1639296221 | Glencoe Regional Health Services | Non-Pharmacy Dispensing Site | 511 4th St. North, Winsted, MN 55395 | 2007-03-26 |
| 1972610079 | Glencoe Regional Health Services | Skilled Nursing Facility | 1805 Hennepin Ave N, Glencoe, MN 55336-1416 | 2006-08-24 |
| 1194832287 | Glencoe Regional Health Services | Medicare Defined Swing Bed Unit | 1805 Hennepin Ave North, Glencoe, MN 55336-1416 | 2006-08-24 |
| 1518074632 | Glencoe Regional Health Services | Durable Medical Equipment & Medical Supplies | 1805 Hennepin Ave North, Glencoe, MN 55336-1416 | 2006-08-24 |
| Street Address |
1805 HENNEPIN AVE N |
| City | GLENCOE |
| State | MN |
| Zip Code | 55336-1416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487647822 | Robert A Larter | Nurse Anesthetist, Certified Registered | 1805 Hennepin Ave N, Glencoe, MN 55336-1416 | 2005-08-30 |
| 1285120477 | Nicole Nash | Registered Nurse | 1805 Hennepin Ave N, Glencoe, MN 55336 | 2018-07-10 |
| 1750899209 | Lindsay Jo Mccain | Physician Assistant | 1805 Hennepin Ave N, Glencoe, MN 55336-1416 | 2018-01-18 |
| 1265951339 | Logan Becker | Nurse Anesthetist, Certified Registered | 1805 Hennepin Ave N, Glencoe, MN 55336-1416 | 2017-09-11 |
| 1083081582 | Patricia Jeanette De Loyal | Physician Assistant | 1805 Hennepin Ave N, Glencoe, MN 55336 | 2015-09-01 |
| 1477938058 | Abigail Frericks Bennett | Physician Assistant | 1805 Hennepin Ave N, Glencoe, MN 55336-1416 | 2015-07-24 |
| 1619357167 | Michele Schuberg | Nurse Practitioner | 1805 Hennepin Ave N, Glencoe, MN 55336-1416 | 2015-05-30 |
| 1225435746 | Jennifer Keltgen | Physical Therapist | 1805 Hennepin Ave N, Glencoe, MN 55336-1416 | 2014-11-26 |
| 1134526650 | Kelsey Nowak | Physical Therapist | 1805 Hennepin Ave N, Glencoe, MN 55336-1416 | 2014-11-26 |
| 1396142089 | Jennifer Keenan | Physical Therapist | 1805 Hennepin Ave N, Glencoe, MN 55336-1416 | 2014-11-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316429160 | Lisa M Thompson | Speech-Language Pathologist | 2105 Hennepin Avenue North, Glencoe, MN 55336 | 2018-08-29 |
| 1609207943 | Sherry Sue Henkelmann | Respite Care | 7768-160th St., Glencoe, MN 55336 | 2013-12-12 |
| 1528277449 | Kelly Jo Higgins | Pharmacist | 2211 11th St. E., Glencoe, MN 55336 | 2007-05-21 |
| 1124180450 | Randy Robert Johnson | Chiropractor | 1706 East Tenth Street, Gauer Chiropractic Clinic, Glencoe, MN 55336 | 2006-12-14 |
| 1790863751 | Merrill D Nelson | Dentist | 1015 Greeley Ave, Glencoe, MN 55336 | 2006-11-01 |
| 1902982481 | Michelle Marie Quale | Registered Nurse | 1805 Hennepin Ave. North, Glencoe Regional Health Services, Glencoe, MN 55336 | 2006-10-27 |
| 1417912122 | Lee Medical Inc | Durable Medical Equipment & Medical Supplies | 1209 Greeley Avenue, Glencoe, MN 55336 | 2006-04-18 |
| 1154319705 | Kristine Leonard Knudten | Family Medicine | 1805 Hennepin Ave North, Glencoe, MN 55336 | 2005-10-07 |
| 1841640091 | Rachael Stoebe | Hearing Instrument Specialist | 2915 10th St E, Glencoe, MN 55336 | 2016-06-20 |
| 1417149113 | Bryan James Fritsch | Internal Medicine | 1805 Hennepin Ave. North, Glencoe Regional Health Services, Glencoe, MN 55336 | 2007-08-16 |
| Find all providers in zip 55336 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730565185 | Eric Ray Watt | General Acute Care Hospital | 7309 E Franklin Cir, Eden Prairie, MN 55346-3818 | 2015-08-08 |
| 1659618742 | Madelia Com Hospital Inc. | General Acute Care Hospital | 621 W Nathan St, Lake Crystal, MN 56055-2116 | 2013-01-09 |
| 1932468683 | Lakewood Health System | General Acute Care Hospital | 401 Prairie Ave. N., 49725 Co. Hwy 83, Staples, MN 56479 | 2012-05-15 |
| 1912121484 | Ely Bloomenson Community Hospital & Nursing Home | General Acute Care Hospital | 328 W Conan Street, Ely, MN 55731-1198 | 2007-04-13 |
| 1295859411 | Clearwater County Memorial Hospital | General Acute Care Hospital | 203 4th St. N.w., Bagley, MN 56621 | 2007-03-16 |
| 1174668081 | Timoth Y John Peterson | General Acute Care Hospital | St. Francis Healthcare Campus, 2400 St. Francis Drive, Breckenridge, MN 56520 | 2007-02-20 |
| 1487712493 | Cook County Hospital District | General Acute Care Hospital | 515 5th Ave W, Grand Marais, MN 55604-3017 | 2006-12-04 |
| 1316014202 | St Josephs Community Dental Clinic | General Acute Care Hospital | 205 Pleasant Ave S, Park Rapids, MN 56470-1434 | 2006-11-29 |
| 1053497214 | County of Murray | General Acute Care Hospital | 2042 Juniper Ave, Slayton, MN 56172-1017 | 2006-10-31 |
| 1699879833 | Unity Family Healthcare | General Acute Care Hospital | 300 3rd Ave, Albany, MN 56307-9363 | 2006-09-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.