Organization
ST LUKE'S HOSPITAL
Active
Other names
Crosby Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH BAKER (ASSISTANT ADMINISTRATOR)
(701) 965-6349
Entity
Organization
Contact information
Practice address
702 1ST ST. SW, CROSBY, ND 58730-0658
(701) 965-6349
(701) 965-6407
Mailing address
PO BOX C, CROSBY, ND 58730-0658
(701) 965-6349
(701) 965-6407
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10021
—
ND
Enumeration date
02/07/2008
Last updated
09/15/2011
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