# ASHLEY MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ASHLEY MEDICAL CENTER
- **Other names:** Ashley Medical Center LTC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1841304342
- **Legal business name:** ASHLEY MEDICAL CENTER
- **Authorized official:** MR. JERRY LEE LEPP (ADMINISTRATOR/CEO)
- **Authorized official phone:** (701) 288-3433

## Contact information

- **Practice address:** 612 CENTER AVE N, ASHLEY, ND 58413-7013
- **Practice address phone:** (701) 288-3433
- **Practice address fax:** (701) 288-3938
- **Mailing address:** PO BOX 450, 612 CENTER AVENUE NORTH, ASHLEY, ND 58413-0450
- **Mailing address phone:** (701) 288-3433
- **Mailing address fax:** (701) 288-3938

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 1001A | ND | Yes |

## Other

- **Enumeration date:** 08/19/2006
- **Last updated:** 05/20/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 30188 | — | ND |
| 01 | — | 3319 | SKILLED NURSING FACILITY | ND |