# QUENTIN N BURDICK COMPREHENSIVE HEALTH CARE FACILITY

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

## Provider details

- **NPI number:** 1154701852
- **Authorized official:** MR. DELAND J. DAVIS (COMPLIANCE OFFICER)
- **Authorized official phone:** (701) 477-6111

## Contact information

- **Practice address:** 1300 HOSPITAL LOOP, BELCOURT, ND 58316-0160
- **Practice address phone:** (701) 477-6111
- **Practice address fax:** (701) 477-2500
- **Mailing address:** PO BOX 160, BELCOURT, ND 58316-0160
- **Mailing address phone:** (701) 477-6111
- **Mailing address fax:** (701) 477-2500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282NR1301X | Rural Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 06/08/2015
- **Last updated:** 06/08/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 01063 | — | ND |
| 01 | — | 70959 | BC/BS OF ND | ND |
