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Organization
PEMBINA COUNTY MEMORIAL HOSPITAL ASSOCIATION
Active
Organization
PEMBINA COUNTY MEMORIAL HOSPITAL ASSOCIATION
Active
Other names
Wedgewood Manor
Organization subpart
No
Provider details
NPI number
Authorized official
LISA LETEXIER (CEO)
(701) 265-6228
Entity
Organization
Contact information
Practice address
804 MAIN ST W, CAVALIER, ND 58220-4646
(701) 265-8453
Mailing address
PO BOX 380, CAVALIER, ND 58220-0380
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1011B
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MEDICAID ID
—
ND
Enumeration date
01/29/2007
Last updated
07/25/2022
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