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Organization

MERCY HOSPITAL OF DEVILS LAKE

Active
Other names
CHI St Alexius Health Devils Lake
Organization subpart
No

Provider details

NPI number
Authorized official
KURT SARGENT (VP OPERATIONAL FINANCE)
(701) 237-8064
Entity
Organization

Contact information

Practice address
1031 7TH STREET NE, DEVILS LAKE, ND 58301-2798
(701) 662-2131
(701) 662-9651
Mailing address
1031 7TH STREET NE, DEVILS LAKE, ND 58301-2798
(701) 662-2131
(701) 662-9651

Taxonomy

Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
5012A
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01939
ND
01
4291
BLUE CROSS SWING BED
ND
Enumeration date
09/15/2006
Last updated
09/17/2016
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