JACOBSON MEMORIAL HOSPITAL CARE CENTER; NPI #1043649486

Contact Information

JACOBSON MEMORIAL HOSPITAL CARE CENTER

215 3RD AVE W
RICHARDTON, ND 58652-7109

Phone: 701-974-3372
Fax: 701-584-2397
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rural Health	261QR1300X	B4[14]	Rural Health Clinic

Indicates primary specialty

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NPI Profile & details for JACOBSON MEMORIAL HOSPITAL CARE CENTER

NPI # 1043649486

LBN Legal business name JACOBSON MEMORIAL HOSPITAL CARE CENTER

Authorized official KRISTIN HEID - (CEO)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 11/06/2013

Last updated 01/26/2026 - About 4 months ago

Identifiers

Medicaid

1478719

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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