Organization
ASHLEY MEDICAL CENTER
Active
Other names
Ashley Medical Center Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY LEE LEPP (ADMINISTRATOR/CEO)
(701) 288-3433
Entity
Organization
Contact information
Practice address
612 CENTER AVE N, ASHLEY, ND 58413-7013
(701) 288-3433
(701) 288-3938
Mailing address
PO BOX 450, 612 CENTER AVE NO, ASHLEY, ND 58413-0450
(701) 288-3433
(701) 288-3938
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
4001A
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54852
—
ND
01
—
737
HOME HEALTH
ND
Enumeration date
09/08/2006
Last updated
07/12/2012
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