Organization
WALHALLA COMMUNITY HOSPITAL ASSOCIATION
Active
Other names
Pembilier Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA JEAN FRASER (ADMINISTRATOR)
(701) 549-3310
Entity
Organization
Contact information
Practice address
500 DELANO AVE, WALHALLA, ND 58282-4637
(701) 549-3310
(701) 549-3833
Mailing address
500 DELANO AVE, WALHALLA, ND 58282-4637
(701) 549-3310
(701) 549-3833
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
8056A
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1313
BCBS
ND
05
—
30736
—
ND
Enumeration date
05/24/2007
Last updated
08/22/2020
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