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Organization

COUNTY OF PEMBINA

Active
Other names
Pembina County Health
Organization subpart
No

Provider details

NPI number
Authorized official
JULIE K HARDY RN (DIRECTOR / ADMINISTRATOR)
(701) 265-4248
Entity
Organization

Contact information

Practice address
301 DAKOTA ST W UNIT 2, CAVALIER, ND 58220-4100
(701) 265-4248
(701) 265-5193
Mailing address
301 DAKOTA ST W UNIT 2, CAVALIER, ND 58220-4100
(701) 265-4248
(701) 265-5193

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
29
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4560002230
TAX ID
ND
Enumeration date
09/21/2006
Last updated
07/19/2021
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