BRAINERD STATE HOSPITAL NPI 1093752594

NPI Information

  • NPI: 1093752594
  • Provider Name: BRAINERD STATE HOSPITAL
  • Classification: Psychiatric Hospital - 283Q00000X
  • Entity Type: Organization
  • Address: 11800 STATE HIGHWAY 18
    BRAINERD, MN
    ZIP 56401
  • Phone: (218) 828-2201

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NPI Details

BRAINERD STATE HOSPITAL is a psychiatric hospital in Brainerd, MN. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. BRAINERD STATE HOSPITAL NPI is 1093752594. The provider is registered as an organization entity type.

The provider's business location address is:

11800 STATE HIGHWAY 18
BRAINERD, MN
ZIP 56401-250
Phone: (218) 828-2201

The provider's authorized official is Rod L Kornrumpf .
The authorized official title is Mental Health Admin Officer and has the following contact phone number (763) 712-4010.

The enumeration date for this NPI number is 6/1/2006 and was last updated on 11/18/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1283Q00000XPsychiatric Hospital331059MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1244008MEDICARE OSCAR/CERTIFICATION
2087058701MEDICAIDMINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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