Organization
ST. LUKE'S HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY LEANNE KREIDT (CEO/ADMINISTRATOR)
(701) 483-5000
Entity
Organization
Contact information
Practice address
242 10TH ST W, DICKINSON, ND 58601
(701) 483-5000
(701) 483-5007
Mailing address
242 10TH ST W, DICKINSON, ND 58601-3926
(701) 483-5000
(701) 483-5007
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1015A
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1370
BCBS OF ND
ND
05
—
30011
—
ND
Enumeration date
05/22/2006
Last updated
08/10/2022
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