Organization
ST ALEXIUS MEDICAL CENTER
Active
Other names
Great Plains Health Company
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY MILLER (CFO)
(701) 530-7000
Entity
Organization
Contact information
Practice address
3222 28TH ST SW, GREAT PLAINS HEALTH COMPANY, FARGO, ND 58104-5183
(701) 232-3000
(701) 232-3005
Mailing address
900 E BROADWAY AVE, BISMARCK, ND 58501-4520
(701) 530-7000
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05957001
BCBS ND CLINIC #
ND
01
—
23337
BCBS
ND
01
—
259M7GR
BLUE PLUS MN MEDICAID
MN
05
—
54594
—
ND
01
—
8200402
MEDICA INS
—
01
—
8200403
MEDICA INS
—
Enumeration date
01/23/2007
Last updated
01/21/2010
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