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Organization
WALHALLA COMMUNITY HOSPITAL ASSOCIATION
Active
Organization
WALHALLA COMMUNITY HOSPITAL ASSOCIATION
Active
Other names
Pembilier Nursing Center, Walhalla Community Hospital Association
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA JEAN FRASER (ADMINISTRATOR)
(701) 549-3310
Entity
Organization
Contact information
Practice address
500 DELANO AVENUE, WALHALLA, ND 58282
(701) 549-3831
(701) 549-3833
Mailing address
500 DELANO AVENUE, WALHALLA, ND 58282
(701) 549-3831
(701) 549-3833
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1055A
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1313
BLUE CROSS BLUE SHIELD
ND
05
—
30035
—
ND
Enumeration date
07/26/2006
Last updated
08/08/2022
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