| NPI | 1417205725 |
|---|---|
| Other Name | GLACIAL RIDGE HOSPITAL |
| Entity Type | Organization |
| Authorized Contact | KIRK STENSRUD CEO 320-634-4521 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2012-08-16 |