# SOUTHWEST HEALTHCARE SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114914140
- **Authorized official:** DENNIS GOEBEL (ADMINISTRATOR)
- **Authorized official phone:** (701) 523-3214

## Contact information

- **Practice address:** 802 2ND ST NW, BOWMAN, ND 58623-4483
- **Practice address phone:** (701) 523-3214
- **Practice address fax:** (701) 523-4139
- **Mailing address:** 802 2ND ST NW, BOWMAN, ND 58623-4483
- **Mailing address phone:** (701) 523-3214
- **Mailing address fax:** (701) 523-4139

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 1007B | ND | Yes |

## Other

- **Enumeration date:** 10/04/2005
- **Last updated:** 12/06/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 001289 | BLUE CROSS BLUE SHIELD | ND |
| 05 | — | 30403 | — | ND |