Organization
ASHLEY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY LEE LEPP (CHIEF FINANCIAL OFFICER)
(701) 288-3433
Entity
Organization
Contact information
Practice address
612 CENTER AVE N, ASHLEY, ND 58413-7013
(701) 288-3433
Mailing address
PO BOX 450, ASHLEY, ND 58413-0450
(701) 288-3433
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50606
—
ND
01
—
7244
BLUE CROSS BLUE SHIELD
ND
Enumeration date
10/03/2006
Last updated
09/11/2008
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