Provider Demographics
NPI:1164533311
Name:HOSPITAL DOCTORS LTD.
Entity Type:Organization
Organization Name:HOSPITAL DOCTORS LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:DOUGLAS
Authorized Official - Last Name:THORSEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:763-208-5182
Mailing Address - Street 1:11215 DAKOTAH ST NW
Mailing Address - Street 2:
Mailing Address - City:COON RAPIDS
Mailing Address - State:MN
Mailing Address - Zip Code:55433-2563
Mailing Address - Country:US
Mailing Address - Phone:763-208-5182
Mailing Address - Fax:
Practice Address - Street 1:11215 DAKOTAH ST NW
Practice Address - Street 2:
Practice Address - City:COON RAPIDS
Practice Address - State:MN
Practice Address - Zip Code:55433-2563
Practice Address - Country:US
Practice Address - Phone:763-208-5182
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNC03110Medicare ID - Type Unspecified