Organization
LUTHERAN CHARITY ASSOCIATION
Active
Parent organization
LUTHERAN CHARITY ASSOCIATION
Other names
Jamestown Regional Medical Center Radiology
Organization subpart
Yes
Provider details
NPI number
Legal business name
LUTHERAN CHARITY ASSOCIATION
Authorized official
MR. MICHAEL J DELFS (CHIEF EXECUTIVE OFFICER)
(701) 952-4850
Entity
Organization
Contact information
Practice address
2422 20TH ST SW, JAMESTOWN, ND 58401-6201
(701) 252-1050
(701) 952-3265
Mailing address
2422 20TH ST SW, JAMESTOWN, ND 58401-6201
(701) 252-1050
(701) 952-3265
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1452322
—
ND
Enumeration date
10/21/2008
Last updated
04/01/2019
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