Organization
GARRISON MEMORIAL HOSPITAL
Active
Other names
GARRISON FAMILY CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
TOD S GRAEBER (ADMINISTRATOR)
(701) 463-6505
Entity
Organization
Contact information
Practice address
437 3RD AVE SE, GARRISON, ND 58540-7235
(701) 463-2245
(701) 463-6543
Mailing address
437 3RD AVE SE, PO BOX 9, GARRISON, ND 58540-7235
(701) 463-2245
(701) 463-6543
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17125
—
ND
05
—
5083
—
ND
01
—
9555
BLUE CROSS/BLUE SHIELD
ND
Enumeration date
01/18/2006
Last updated
10/07/2014
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