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Contact Information

SISTERS OF MARY OF THE PRESENTATION LONG TERM CARE
3102 S UNIVERSITY DRIVE
FARGO, ND58103
 Phone: 701-293-7750
 Fax: 701-293-5845
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for SISTERS OF MARY OF THE PRESENTATION LONG TERM CARE

NPI # 1053316497
LBN Legal business name SISTERS OF MARY OF THE PRESENTATION LONG TERM CARE
Authorized official MELDINE TANG - (CHIEF FINANCIAL OFFICER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 06/14/2005
Last updated 04/16/2021 - About 5 years ago
Identifiers
ND License # 1023B
ND Medicaid 030419
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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