Organization
HAZEN MEMORIAL HOSPITAL ASSOCIATION
Active
Other names
Sakakawea Home Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARROLD BERTSCH (CEO)
(701) 748-7230
Entity
Organization
Contact information
Practice address
510 8TH AVE NE, HAZEN, ND 58545-4637
(701) 748-7380
Mailing address
510 8TH AVE NE, HAZEN, ND 58545-4637
(701) 748-7380
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
4053A
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
59258
—
ND
Enumeration date
04/24/2007
Last updated
07/19/2012
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