Organization
GARRISON MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEAN MATTERN (ADMINISTRATOR)
(701) 463-2275
Entity
Organization
Contact information
Practice address
407 3RD AVE SE, GARRISON, ND 58540-7235
(701) 463-2275
(701) 463-2886
Mailing address
PO BOX 39, GARRISON, ND 58540-0039
(701) 463-2275
(701) 463-2886
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1076A
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008268
BLUE SHIELD SNF
ND
05
—
030134
—
ND
Enumeration date
01/25/2006
Last updated
10/10/2007
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