Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rural Health |
261QR1300X | B4[14] | Rural Health Clinic |
| NPI # | 1730126640 |
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| LBN Legal business name | CAVALIER COUNTY MEMORIAL HOSPITAL ASSOCIATION | ||||||||
| Authorized official | JEFFERY STANLEY - (ADMINISTRATOR/CEO) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | Yes | ||||||||
| Enumeration date | 05/31/2006 | ||||||||
| Last updated | 02/08/2019 - About 7 years ago | ||||||||
| Identifiers |
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