Organization
NORTHWOOD DEACONESS HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BROCK SHERVA (CEO)
(701) 587-6060
Entity
Organization
Contact information
Practice address
4 N PARK ST, NORTHWOOD, ND 58267-4102
(701) 587-6060
(701) 587-6492
Mailing address
PO BOX 190, NORTHWOOD, ND 58267-0190
(701) 587-6060
(701) 587-6492
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000064
MEDICARE PART B
—
05
—
DO1918
—
ND
Enumeration date
09/19/2006
Last updated
05/27/2025
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