Organization
CAVALIER COUNTY MEMORIAL HOSPITAL ASSOCIATION
Active
Parent organization
CAVALIER COUNTY MEMORIAL HOSPITAL ASSOC
Other names
Cavalier County Memorial Hosptial - Walhalla Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAVALIER COUNTY MEMORIAL HOSPITAL ASSOC
Authorized official
MR. JEFFERY STANLEY (ADMINISTRATOR/CEO)
(701) 256-6180
Entity
Organization
Contact information
Practice address
301 5TH ST, WALHALLA, ND 58282-4625
(701) 549-2711
Mailing address
909 2ND ST, LANGDON, ND 58249-2407
(701) 256-6100
(701) 256-2170
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
5029
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1470144
—
ND
Enumeration date
12/11/2006
Last updated
02/08/2019
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