Organization
BENEDICTINE LIVING COMMUNITIES, INC.
Active
Other names
Benedictine Home Health, St. Catherine's Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIM CORNELIUS (EXECUTIVE DIRECTOR)
(701) 642-6667
Entity
Organization
Contact information
Practice address
1307 7TH ST N, WAHPETON, ND 58075-3624
(701) 642-6667
(701) 642-2485
Mailing address
1307 7TH ST N, WAHPETON, ND 58075-3624
(701) 642-6667
(701) 642-2485
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
4065A
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10272
BLUE CROSS BLUE SHIELD
ND
01
—
3P6OCA
BLUE PLUS
MN
05
—
50677
—
ND
05
—
596317600
—
MN
Enumeration date
03/14/2006
Last updated
04/16/2020
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