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Organization

NORTHWOOD DEACONESS HEALTH CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BROCK SHERVA (CEO)
(701) 587-6060
Entity
Organization

Contact information

Practice address
4 NORTH PARK ST, NORTHWOOD, ND 58267-0190
(701) 587-6060
(701) 587-6492
Mailing address
PO BOX 190, NORTHWOOD, ND 58267-0190
(701) 587-6060
(701) 587-6492

Taxonomy

Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
5040P
ND
291U00000X
Clinical Medical Laboratory
35D0684526
ND
341600000X
Ambulance

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0174
BCBS
ND
01
1000064
MEDICARE PART B
05
11827
ND
05
623348100
MN
05
D01045
ND
Enumeration date
09/20/2006
Last updated
05/27/2025
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