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Contact Information

JACOBSON MEMORIAL HOSPITAL CARE CENTER
601 E STREET N
ELGIN, ND58533
 Phone: 701-584-2792
 Fax: 701-584-3348
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

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

NPI Profile & details for JACOBSON MEMORIAL HOSPITAL CARE CENTER

NPI # 1629165915
LBN Legal business name JACOBSON MEMORIAL HOSPITAL CARE CENTER
Authorized official JAMES OPDAHL - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/06/2006
Last updated 04/30/2013 - About 13 years ago
Identifiers
ND License # 1017A
ND Medicaid 30077
NC Other 001362 BLUE CROSS BLUE SHIELD
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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