Organization
LISBON AREA HEALTH SERVICES
Active
Other names
CHI Lisbon Health
Organization subpart
No
Provider details
NPI number
Authorized official
PEGGY LARSON (ADMINISTRATOR)
(701) 683-6419
Entity
Organization
Contact information
Practice address
905 MAIN STREET, LISBON, ND 58054
(701) 683-6400
(701) 683-6444
Mailing address
905 MAIN STREET, LISBON, ND 58054
(701) 683-6400
(701) 683-6444
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
5031B
ND
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1463286
—
ND
Enumeration date
03/17/2008
Last updated
04/29/2019
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