Organization
MOUNTRAIL COUNTY MEDICAL CENTER, INC.
Active
Other names
CAH
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN GJELLSTAD (BOARD PRESIDENT)
(701) 371-4930
Entity
Organization
Contact information
Practice address
615 6TH ST SE, STANLEY, ND 58784-4444
(701) 628-2424
(701) 628-3990
Mailing address
PO BOX 399, STANLEY, ND 58784-0399
(701) 628-8602
(701) 628-3990
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
—
—
282NC0060X
Critical Access Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00604
BLUE CROSS
ND
05
—
01053
—
ND
05
—
1459885
—
ND
Enumeration date
10/10/2006
Last updated
12/03/2025
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