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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