Provider Demographics
NPI:1295872489
Name:SWIFT COUNTY BENSON HOSPITAL
Entity type:Organization
Organization Name:SWIFT COUNTY BENSON HOSPITAL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:WESTRUM
Authorized Official - Suffix:
Authorized Official - Credentials:MS,LPP,LPC
Authorized Official - Phone:800-833-3096
Mailing Address - Street 1:640 ATLANTIC AVE
Mailing Address - Street 2:
Mailing Address - City:BENSON
Mailing Address - State:MN
Mailing Address - Zip Code:56215-1381
Mailing Address - Country:US
Mailing Address - Phone:800-833-3096
Mailing Address - Fax:
Practice Address - Street 1:640 ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:BENSON
Practice Address - State:MN
Practice Address - Zip Code:56215-1381
Practice Address - Country:US
Practice Address - Phone:800-833-3096
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN976282NR1301X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NR1301XHospitalsGeneral Acute Care HospitalRural
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN262M2STOtherBCBS
MN943101034887OtherPREFERRED 1