NPI 1093752594

Brainerd State Hospital

Organisation Psychiatric Hospital Brainerd, MN

Practice location

Address: 11800 State Highway 18, Brainerd, MN 56401-6250
Phone: (218) 828-2201
Mailing address: PO Box 64979, Saint Paul, MN 55164-0979

Authorised official

Name: Rod L Kornrumpf
Title: Mental Health Admin Officer
Phone: (763) 712-4010

Registered specialties

Psychiatric Hospital Primary

Hospitals Taxonomy 283Q00000X Licence 331059 (MN)

Other Psychiatric Hospital providers in Minnesota →

Registry record

NPI: 1093752594
Entity type: Organization
NPI issued: 1 Jun 2006
Record last updated: 18 Nov 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.