| Organization Name: | ST. ALEXIUS MEDICAL CENTER |
| NPI Number: | 1174585319 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TOD GRAEBER (ADMINISTRATOR) |
| Mailing Address: | 220 5th Ave Turtle Lake |
| State: | ND US |
| Postal Code: | 585750280 |
| Phone Number: | 7014482331 |
| Fax Number: | 7014482441 |
| NPI Enumeration Date: | 04/04/2006 |
| NPI Last Update Date: | 03/01/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 385H00000X |
| License Number: | 5059P |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ND |
| Taxonomy Type: | Respite Care Facility |
| Taxonomy Classification: | Respite Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |