Provider Demographics
NPI:1255363438
Name:CUYUNA REGIONAL MEDICAL CENTER
Entity type:Organization
Organization Name:CUYUNA REGIONAL MEDICAL CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:KATIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:218-546-7000
Mailing Address - Street 1:500 HEARTWOOD DR
Mailing Address - Street 2:
Mailing Address - City:CROSBY
Mailing Address - State:MN
Mailing Address - Zip Code:56441-5601
Mailing Address - Country:US
Mailing Address - Phone:218-546-7000
Mailing Address - Fax:218-546-4645
Practice Address - Street 1:500 HEARTWOOD DR
Practice Address - Street 2:
Practice Address - City:CROSBY
Practice Address - State:MN
Practice Address - Zip Code:56441-5601
Practice Address - Country:US
Practice Address - Phone:218-546-7000
Practice Address - Fax:218-546-4645
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-07
Last Update Date:2019-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN329842251G00000X, 251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1598ACUOtherBCBS HOMECARE
MN124184OtherUCARE HOMECARE
MN247171OtherMEDICARE HOME CARE
MN5025389OtherMEDICA CHOICE
MN241537OtherMEDICARE HOSPICE
MN5000069OtherMEDICA PRIMARY
MN5900048OtherMEDICA HOMECARE
MN01012762OtherPREFERRED ONE HOMECARE
MN1598ACUOtherBLUE CROSS BLUE SHIELD