Organization
ST LUKES HOPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. J NICOLE LOUCKS CSCS (PHYSICAL THERAPIST)
(701) 965-6384
Entity
Organization
Contact information
Practice address
702 1ST ST SW, CROSBY, ND 58730-3329
(701) 965-6384
(701) 965-4258
Mailing address
PO BOX 10, CROSBY, ND 58730-0010
(701) 965-6384
(701) 965-4258
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
469PT
MT
282NC0060X
Critical Access Hospital
Primary
716
ND
Other
Enumeration date
10/30/2007
Last updated
10/30/2007
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