PEMBINA COUNTY MEMORIAL HOSPITAL ASSOCIATION; NPI #1063634210

Contact Information

PEMBINA COUNTY MEMORIAL HOSPITAL ASSOCIATION

301 MOUNTAIN ST E
CAVALIER, ND 58220-0380

Phone: 701-265-8461
Fax: 701-265-8752
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Medicare Defined Swing Bed Unit	275N00000X	A0[7]	Hospital-Swing Bed Approved

Indicates primary specialty

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NPI Profile & details for PEMBINA COUNTY MEMORIAL HOSPITAL ASSOCIATION

NPI Number 1063634210

LBN Legal business name PEMBINA COUNTY MEMORIAL HOSPITAL ASSOCIATION

Authorized official LISA LETEXIER - (CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/03/2007

Last updated 07/25/2022 - About 4 years ago

Identifiers

ND	License #	5009B
ND	Medicaid	001960
ND	Medicaid	21379
ND	Other	012443	ND BLUE CROSS SB

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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PEMBINA COUNTY MEMORIAL HOSPITAL ASSOCIATION

Contact Information

Specialty

Medicare Defined Swing Bed Unit

NPI Profile & details for PEMBINA COUNTY MEMORIAL HOSPITAL ASSOCIATION

Reviews for PEMBINA COUNTY MEMORIAL HOSPITAL ASSOCIATION