Healthcare Provider Details

I. General information

NPI: 1174317705
Provider Name (Legal Business Name): ST ANDREWS HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2025
Last Update Date: 04/08/2025
Certification Date: 04/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

316 OHMER ST
BOTTINEAU ND
58318-1045
US

IV. Provider business mailing address

316 OHMER ST
BOTTINEAU ND
58318-1045
US

V. Phone/Fax

Practice location:
  • Phone: 701-228-9300
  • Fax: 701-228-9384
Mailing address:
  • Phone: 701-228-9300
  • Fax: 701-228-9384

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: BRENDA ARNESON
Title or Position: HUMAN RESOURCE DIRECTOR
Credential:
Phone: 701-228-9314