| Organization Name: | CAVALIER COUNTY MEMORIAL HOSPITAL ASSOCIATION |
| NPI Number: | 1790847812 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LAWRENCE BLUE (ADMINISTRATOR) |
| Mailing Address: | 909 2nd St Langdon |
| State: | ND US |
| Postal Code: | 582492407 |
| Phone Number: | 7012566100 |
| Fax Number: | 7012562170 |
| NPI Enumeration Date: | 12/14/2006 |
| NPI Last Update Date: | 02/23/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | 5029A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ND |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |