Organization
DOCTORS HOSPITAL-GRAND FORKS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMI MOORE (VICE PRESIDENT OF REVENUE)
(574) 485-1711
Entity
Organization
Contact information
Practice address
1451 44TH AVE S, GRAND FORKS, ND 58201-3434
(574) 485-1711
(574) 277-2635
Mailing address
1625 E JEFFERSON BLVD, MISHAWAKA, IN 46545-7103
(574) 255-1400
(574) 277-2635
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
10/12/2011
Last updated
10/12/2011
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