Organization
GARRISON MEMORIAL HOSPITAL
Active
Organization
GARRISON MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEAN MATTERN (ADMINISTRATOR)
(701) 463-2275
Entity
Organization
Contact information
Practice address
407 3RD AVE SE, GARRISON, ND 58540-7235
(701) 463-2275
(701) 463-2886
Mailing address
PO BOX 39, GARRISON, ND 58540
(701) 463-2275
(701) 463-2886
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
5019A
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001902
—
ND
01
—
002741
BLUE SHIELD SWING BED
ND
Enumeration date
01/25/2006
Last updated
10/10/2007
Update your record
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