Organization
ST. LUKE'S HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LESLIE O URVAND (ADMINISTRATOR)
(701) 965-6384
Entity
Organization
Contact information
Practice address
702 1ST SW, CROSBY, ND 58730-0010
(701) 965-6384
(701) 965-4258
Mailing address
PO BOX 10, CROSBY, ND 58730-0010
(701) 965-6384
(701) 965-4258
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
5011A
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001917
—
ND
01
—
002923
ND BLUE CROSS SWINGBED
ND
Enumeration date
07/31/2006
Last updated
08/22/2020
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