Organization Name: | SOUTHWEST HEALTHCARE SERVICE |
NPI Number: | 1477529030 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DARROLD BERTSCH (ADMINISTRATOR) |
Mailing Address: | 14 6th Ave Sw Bowman |
State: | ND US |
Postal Code: | 586234518 |
Phone Number: | 7015235265 |
Fax Number: | 7015237104 |
NPI Enumeration Date: | 02/24/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NC0060X |
License Number: | 5006P |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ND |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Critical Access |
Taxonomy Definition: |