Provider Demographics
NPI:1053446021
Name:SWIFT COUNTY BENSON HOSPITAL
Entity Type:Organization
Organization Name:SWIFT COUNTY BENSON HOSPITAL
Other - Org Name:SWIFT COUNTY BENSON HOSPITAL HOME HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:JAYNE
Authorized Official - Middle Name:T
Authorized Official - Last Name:THIELKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:320-843-4232
Mailing Address - Street 1:1815 WISCONSIN AVE
Mailing Address - Street 2:
Mailing Address - City:BENSON
Mailing Address - State:MN
Mailing Address - Zip Code:56215-1653
Mailing Address - Country:US
Mailing Address - Phone:320-843-4232
Mailing Address - Fax:320-843-1345
Practice Address - Street 1:1815 WISCONSIN AVE
Practice Address - Street 2:
Practice Address - City:BENSON
Practice Address - State:MN
Practice Address - Zip Code:56215-1653
Practice Address - Country:US
Practice Address - Phone:320-843-4232
Practice Address - Fax:320-843-1345
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2016-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN247221Medicare ID - Type UnspecifiedHOME HEALTH PROV #
MN247221Medicare Oscar/Certification