Organization
LUTHERAN CHARITY ASSOCIATION
Active
Other names
Jamestown Regional Medical Center Home Health Agency
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL J DELFS (CHIEF EXECUTIVE OFFICER)
(701) 952-4850
Entity
Organization
Contact information
Practice address
2422 20TH ST SW, JAMESTOWN, ND 58401-6201
(701) 252-1050
(701) 952-3265
Mailing address
2422 20TH ST SW, JAMESTOWN, ND 58401-6201
(701) 952-4847
(701) 952-3265
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
4020A
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1452365
—
ND
Enumeration date
09/06/2005
Last updated
04/01/2019
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