| Organization Name: | CAVALIER COUNTY MEMORIAL HOSPITAL, ASSOCIATION |
| NPI Number: | 1730126640 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LAWRENCE BLUE (ADMINISTRATOR/CEO) |
| Mailing Address: | 901 2nd St Langdon |
| State: | ND US |
| Postal Code: | 582492407 |
| Phone Number: | 7012566100 |
| Fax Number: | 7012562170 |
| NPI Enumeration Date: | 05/31/2006 |
| NPI Last Update Date: | 11/22/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | 5029A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ND |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |