# PEMBINA COUNTY MEMORIAL HOSPITAL ASSOCIATION

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PEMBINA COUNTY MEMORIAL HOSPITAL ASSOCIATION
- **Other names:** CLINICARE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1205244944
- **Legal business name:** PEMBINA COUNTY MEMORIAL HOSPITAL ASSOCIATION
- **Authorized official:** MS. LISA R LETEXIER CEO (CEO)
- **Authorized official phone:** (701) 265-6228

## Contact information

- **Practice address:** 301 MOUNTAIN ST E, CAVALIER, ND 58220-4015
- **Practice address phone:** (701) 265-6307
- **Practice address fax:** (701) 265-6373
- **Mailing address:** 301 MOUNTAIN ST E, PO BOX 380, CAVALIER, ND 58220-4015
- **Mailing address phone:** (701) 265-6307
- **Mailing address fax:** (701) 265-6373

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | PAC0563 | ND | Yes |

## Other

- **Enumeration date:** 07/25/2014
- **Last updated:** 07/25/2022