Provider Demographics
NPI:1518631407
Name:NORTHFIELD HOSPITAL
Entity Type:Organization
Organization Name:NORTHFIELD HOSPITAL
Other - Org Name:NORTHFIELD HOSPITAL & CLINICS - KENYON CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:GUTH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-646-1416
Mailing Address - Street 1:225 HUSETH ST
Mailing Address - Street 2:
Mailing Address - City:KENYON
Mailing Address - State:MN
Mailing Address - Zip Code:55946-1005
Mailing Address - Country:US
Mailing Address - Phone:507-623-0123
Mailing Address - Fax:507-623-0444
Practice Address - Street 1:225 HUSETH ST
Practice Address - Street 2:
Practice Address - City:KENYON
Practice Address - State:MN
Practice Address - Zip Code:55946-1005
Practice Address - Country:US
Practice Address - Phone:507-646-1000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-04
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care