Organization
PEMBINA COUNTY MEMORIAL HOSPITAL ASSOCIATION
Active
Organization
PEMBINA COUNTY MEMORIAL HOSPITAL ASSOCIATION
Active
Other names
Pembina County Memorial Hospital Swing Bed
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA R LETEXIER (CEO)
(701) 265-6228
Entity
Organization
Contact information
Practice address
301 MOUNTAIN ST E, CAVALIER, ND 58220-0380
(701) 265-8461
(701) 265-8752
Mailing address
301 MOUNTAIN ST E, P O BOX 380, CAVALIER, ND 58220-0380
(701) 265-8461
(701) 265-8752
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
5009B
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001960
—
ND
01
—
012443
ND BLUE CROSS SB
ND
05
—
21379
—
ND
Enumeration date
05/03/2007
Last updated
07/25/2022
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