Organization
SOUTHWEST HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS GOEBEL (ADMINISTRATOR)
(701) 523-3214
Entity
Organization
Contact information
Practice address
802 2ND ST NW, BOWMAN, ND 58623-4483
(701) 523-3214
(701) 523-4139
Mailing address
802 2ND ST NW, BOWMAN, ND 58623-4483
(701) 523-3214
(701) 523-4139
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1007B
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001289
BLUE CROSS BLUE SHIELD
ND
05
—
30403
—
ND
Enumeration date
10/04/2005
Last updated
12/06/2011
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