Organization
ST ALEXIUS MEDICAL CENTER
Active
Other names
Great Plains Rehabilitation Services-Minot
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY MILLER (CFO)
(701) 530-7000
Entity
Organization
Contact information
Practice address
400 BURDICK EXPY E STE 201A, GREAT PLAINS REHABILITATION SERVICES MINOT, MINOT, ND 58701-4769
(701) 857-7364
(701) 857-7419
Mailing address
900 E BROADWAY AVE, BISMARCK, ND 58501-4520
(701) 530-7000
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03320003
BCBS ND CLINIC #
ND
01
—
26027
BCBS
ND
05
—
50868
—
ND
Enumeration date
01/23/2007
Last updated
10/27/2009
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