Organization
BRIDGEWELL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HANNAH SMITH (DIRECTOR)
(701) 368-9461
Entity
Organization
Contact information
Practice address
209 10TH ST SE, JAMESTOWN, ND 58401-5552
(701) 368-9462
Mailing address
209 10TH ST SE, JAMESTOWN, ND 58401-5552
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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