Organization
JACOBSON MEMORIAL HOSPITAL CARE CENTER
Active
Organization
JACOBSON MEMORIAL HOSPITAL CARE CENTER
Active
Parent organization
JACOBSON MEMORIAL HOSPITAL
Other names
Hebron Community Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
JACOBSON MEMORIAL HOSPITAL
Authorized official
JAMES OPDAHL (CEO)
(701) 584-2792
Entity
Organization
Contact information
Practice address
811 MAIN ST, HEBRON, ND 58638
(701) 878-4250
(701) 878-4346
Mailing address
601 EAST ST N, ELGIN, ND 58533-7105
(701) 584-2792
(701) 584-3348
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05170
—
ND
01
—
06043001
BCBS - HEBRON RHC
ND
Enumeration date
08/28/2006
Last updated
08/12/2008
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