Organization
MISSOURI SLOPE LUTHERAN CARE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REIER THOMPSON (PRESIDENT/CEO)
(701) 223-9407
Entity
Organization
Contact information
Practice address
2425 HILLVIEW AVE, BISMARCK, ND 58501-3056
(701) 223-9407
(701) 222-6328
Mailing address
2425 HILLVIEW AVE, BISMARCK, ND 58501-3056
(701) 223-9407
(701) 222-6328
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
1004A
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
030004
—
ND
01
—
1339
BLUE CROSS OF NORTH DAKOT
ND
01
—
38520
TRICARE
—
Enumeration date
05/20/2006
Last updated
02/18/2021
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