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Organization

MERCY HOSPITAL OF DEVILS LAKE

Active
Other names
CHI St Alexius Health Devils Lake
Organization subpart
No

Provider details

NPI number
Authorized official
KURT SARGENT (VP OPERATIONAL FINANCE)
(701) 237-8064
Entity
Organization

Contact information

Practice address
1031 7TH ST NE, DEVILS LAKE, ND 58301-2798
(701) 662-2131
(701) 662-9651
Mailing address
1031 7TH ST NE, DEVILS LAKE, ND 58301-2798
(701) 662-2131
(701) 662-9651

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
076001
BLUE CROSS GROUP NUMBER
ND
05
1462607
ND
Enumeration date
02/27/2006
Last updated
03/30/2017
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