# JACOBSON MEMORIAL HOSPITAL CARE CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1629165915
- **Authorized official:** JAMES IVER OPDAHL (ADMINISTRATOR)
- **Authorized official phone:** (701) 584-7233

## Contact information

- **Practice address:** 601 E STREET N, ELGIN, ND 58533
- **Practice address phone:** (701) 584-2792
- **Practice address fax:** (701) 584-3348
- **Mailing address:** 601 EAST ST N, ELGIN, ND 58533-7105
- **Mailing address phone:** (701) 584-2792
- **Mailing address fax:** (701) 584-3348

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 1017A | ND | Yes |

## Other

- **Enumeration date:** 10/06/2006
- **Last updated:** 04/30/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 001362 | BLUE CROSS BLUE SHIELD | NC |
| 05 | — | 30077 | — | ND |