Organization
JACOBSON MEMORIAL HOSPITAL CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES IVER OPDAHL (ADMINISTRATOR)
(701) 584-7233
Entity
Organization
Contact information
Practice address
601 E STREET N, ELGIN, ND 58533
(701) 584-2792
(701) 584-3348
Mailing address
601 EAST ST N, ELGIN, ND 58533-7105
(701) 584-2792
(701) 584-3348
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1017A
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001362
BLUE CROSS BLUE SHIELD
NC
05
—
30077
—
ND
Enumeration date
10/06/2006
Last updated
04/30/2013
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