JACOBSON MEMORIAL HOSPITAL CARE CENTER; NPI #1376651463

Contact Information

JACOBSON MEMORIAL HOSPITAL CARE CENTER

811 MAIN ST
HEBRON, ND 58638

Phone: 701-878-4250
Fax: 701-878-4346
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 Number 1376651463

LBN Legal business name JACOBSON MEMORIAL HOSPITAL CARE CENTER

Authorized official JAMES OPDAHL - (CEO)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 08/28/2006

Last updated 08/12/2008 - About 18 years ago

Identifiers

ND	Medicaid	05170
ND	Other	06043001	BCBS - HEBRON RHC

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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