Organization
ST JOSEPH'S HOSPITAL & HEALTH CENTER-MEDQUEST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAIL URBANEC (DIRECTOR)
(701) 456-4364
Entity
Organization
Contact information
Practice address
584 12TH ST W, DICKINSON, ND 58601-3509
(701) 456-4364
Mailing address
584 12TH ST W, DICKINSON, ND 58601-3509
(701) 456-4364
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
70506
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
70506
BCBS OF ND
ND
Enumeration date
09/21/2007
Last updated
03/28/2008
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