Organization
ST ALEXIUS SAME DAY SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA GERVING (DIRECTOR)
(701) 530-5000
Entity
Organization
Contact information
Practice address
810 E ROSSER AVE, BISMARCK, ND 58502-4046
(701) 530-5000
(701) 530-5049
Mailing address
PO BOX 4046, BISMARCK, ND 58502-4046
(701) 530-5000
(701) 530-5049
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011101
—
ND
01
—
ST8622
BLUE CROSS BLUE SHIELD
ND
Enumeration date
10/26/2006
Last updated
08/22/2020
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