Organization
WALHALLA COMMUNITY HOSPITAL ASSOCIATION
Active
Other names
Pembilier Nursing Center, Walhalla Community Hospital Association
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA JEAN FRASER (ADMINISTRATOR)
(701) 549-3310
Entity
Organization
Contact information
Practice address
500 DELANO AVENUE, WALHALLA, ND 58282
(701) 549-3831
(701) 549-3833
Mailing address
500 DELANO AVENUE, WALHALLA, ND 58282
(701) 549-3831
(701) 549-3833
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1055A
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1313
BLUE CROSS BLUE SHIELD
ND
05
—
30035
—
ND
Enumeration date
07/26/2006
Last updated
08/08/2022
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