Organization
ST LUKE'S HOSPITAL
Active
Other names
Crosby Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH BAKER (ASSISTANT ADMINISTRATOR)
(701) 965-6349
Entity
Organization
Contact information
Practice address
702 1ST ST. SW, CROSBY, ND 58730-0658
(701) 965-6349
(701) 965-6407
Mailing address
PO BOX C, CROSBY, ND 58730-0658
(701) 965-6349
(701) 965-6407
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
353413
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009571
NORTH DAKOTA BLUE CROSS
ND
05
—
5082
—
ND
Enumeration date
08/15/2006
Last updated
09/15/2011
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