# NORTHWOOD DEACONESS HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NORTHWOOD DEACONESS HEALTH CENTER
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1225457864
- **Legal business name:** NORTHWOOD DEACONESS HEALTH CENTER
- **Authorized official:** MS. CHRIS KJORVEN (ADMINISTRATIVE ASSISTANT)
- **Authorized official phone:** (701) 587-6434

## Contact information

- **Practice address:** 4 N PARK ST, NORTHWOOD, ND 58267-4102
- **Practice address phone:** (701) 587-6060
- **Practice address fax:** (701) 587-6479
- **Mailing address:** PO BOX 190, NORTHWOOD, ND 58267-0190
- **Mailing address phone:** (701) 587-6060
- **Mailing address fax:** (701) 587-6479

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311Z00000X | Custodial Care Facility | 8090 | ND | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 5040 | ND | — |

## Other

- **Enumeration date:** 04/10/2014
- **Last updated:** 06/05/2014