Provider Demographics
NPI:1790815777
Name:AITKIN COMMUNITY HOSPITAL, INC.
Entity Type:Organization
Organization Name:AITKIN COMMUNITY HOSPITAL, INC.
Other - Org Name:RIVERWOOD HEALTHCARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:A
Authorized Official - Last Name:WESTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:218-927-5501
Mailing Address - Street 1:200 BUNKER HILL DR
Mailing Address - Street 2:
Mailing Address - City:AITKIN
Mailing Address - State:MN
Mailing Address - Zip Code:56431-1865
Mailing Address - Country:US
Mailing Address - Phone:218-927-2157
Mailing Address - Fax:218-927-4130
Practice Address - Street 1:27278 STATE HIGHWAY 18
Practice Address - Street 2:
Practice Address - City:GARRISON
Practice Address - State:MN
Practice Address - Zip Code:56450
Practice Address - Country:US
Practice Address - Phone:320-525-3400
Practice Address - Fax:320-525-3439
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2022-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
152031OtherUCARE
39A31RIOtherBLUE CROSS
47305OtherHEALTH PARTNERS
MN243441OtherMEDICARE - NORIDIAN
MN146635000Medicaid
MNC04561Medicare ID - Type UnspecifiedWPS