Provider Demographics
NPI:1356321699
Name:RANGE REGIONAL HEALTH SERVICES
Entity Type:Organization
Organization Name:RANGE REGIONAL HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:TODD
Authorized Official - Middle Name:
Authorized Official - Last Name:CHRISTENSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:218-999-1702
Mailing Address - Street 1:750 E 34TH ST
Mailing Address - Street 2:
Mailing Address - City:HIBBING
Mailing Address - State:MN
Mailing Address - Zip Code:55746-3553
Mailing Address - Country:US
Mailing Address - Phone:218-262-4881
Mailing Address - Fax:218-362-6163
Practice Address - Street 1:750 E 34TH ST
Practice Address - Street 2:
Practice Address - City:HIBBING
Practice Address - State:MN
Practice Address - Zip Code:55746-3553
Practice Address - Country:US
Practice Address - Phone:218-262-4881
Practice Address - Fax:218-362-6163
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-20
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN331001282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1006110OtherPREF 1
MN83-00130OtherMEDICA
MNCH5565OtherRRPTAN
MN50-25402OtherMEDICA
MN69208EMOtherBLUE CROSS
MN08G67UNOtherBLUE CROSS
MN1685H CEOtherBLUE CROSS BLUE SHIELD
MN2090OtherHEALTHPARTNERS
MN502847700Medicaid
MN92066OtherPREFERREDONE
MN068512700Medicaid
MN1561OtherHEALTHPARTNERS
MN60255MEOtherBLUE CROSS
MNH104 300096OtherUCARE
MNH104 331227OtherUCARE
MN98-39153OtherMEDICA
MNCG7247OtherRRPTAN
MNH104 331227OtherUCARE
MN92066OtherPREFERREDONE