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Organization
WALHALLA COMMUNITY HOSPITAL ASSOCIATION
Active
Organization
WALHALLA COMMUNITY HOSPITAL ASSOCIATION
Active
Other names
Pembilier Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA JEAN FRASER (ADMINISTRATOR)
(701) 549-3310
Entity
Organization
Contact information
Practice address
500 DELANO AVE, WALHALLA, ND 58282-4637
(701) 549-3310
(701) 549-3833
Mailing address
500 DELANO AVE, WALHALLA, ND 58282-4637
(701) 549-3310
(701) 549-3833
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
8056A
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1313
BCBS
ND
05
—
30736
—
ND
Enumeration date
05/24/2007
Last updated
08/22/2020
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