Organization
AMERICAN BAPTIST HOMES OF THE MIDWEST
Active
Other names
Baptist Home of Kenmare
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH A KOTCHER (DIRECTOR OF REIMBURSEMENT)
(952) 253-1485
Entity
Organization
Contact information
Practice address
315 2ND AVE NW, KENMARE, ND 58746-7160
(701) 385-4941
(701) 385-4215
Mailing address
315 2ND AVE NW, PO BOX 787, KENMARE, ND 58746-7160
(701) 385-4941
(701) 385-4215
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
8022A
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30700
—
ND
Enumeration date
10/10/2005
Last updated
08/22/2020
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