SISTERS OF MARY OF THE PRESENTATION LONG-TERM CARE
Skilled Nursing Facility
Fargo, North Dakota
Provider NPI: 1578567996
Organization Information:Organization Name: SISTERS OF MARY OF THE PRESENTATION LONG-TERM CARE
Practice Location:
1351 BROADWAY N FARGO, ND 58102 US
Tel: 701-277-7999 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
1351 BROADWAY N FARGO, ND 58102 US
Tel: 701-277-7999 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | ND | 1022A |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
BLUE CROSS MN | 9F64R0 | MN | 01 |
BLUE CROSS ND | 12518 | ND | 01 |
30420 | ND | 05 | |
687667600 | MN | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin