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Organization

ASHLEY MEDICAL CENTER

Active
Parent organization
ASHLEY MEDICAL CENTER
Other names
Ashley Medical Center Hospice
Organization subpart
Yes

Provider details

NPI number
Legal business name
ASHLEY MEDICAL CENTER
Authorized official
MR. JERRY LEE LEPP (ADMINISTRATOR/CEO)
(701) 288-3433
Entity
Organization

Contact information

Practice address
612 CENTER AVE N, ASHLEY, ND 58413-7013
(701) 288-3433
(701) 288-3938
Mailing address
PO BOX 450, 612 CENTER AVE NORTH, ASHLEY, ND 58413-0450
(701) 288-3433
(701) 288-3938

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
6012A
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
58654
ND
01
8920
HOSPICE
ND
Enumeration date
09/25/2006
Last updated
04/30/2013
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