Organization
LISBON AREA HEALTH SERVICES
Active
Other names
CHI Lisbon Health
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PEGGY A LARSON RN (ADMINISTRATOR)
(701) 683-6419
Entity
Organization
Contact information
Practice address
905 MAIN STREET, LISBON, ND 58054-0353
(701) 683-6400
(701) 683-4345
Mailing address
905 MAIN ST, LISBON, ND 58054-4334
(701) 683-6400
(701) 683-4345
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
5031B
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1463373
—
ND
Enumeration date
10/23/2006
Last updated
04/29/2019
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