Organization Name: | ST LUKE'S HOSPITAL |
NPI Number: | 1184737231 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KEITH BAKER (ASSISTANT ADMINISTRATOR) |
Mailing Address: | 702 1st St. Sw Crosby |
State: | ND US |
Postal Code: | 587300658 |
Phone Number: | 7019656349 |
Fax Number: | 7019656407 |
NPI Enumeration Date: | 08/15/2006 |
NPI Last Update Date: | 09/15/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | 353413 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ND |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |