Healthcare Provider Details

I. General information

NPI: 1659393650
Provider Name (Legal Business Name): TOWNER COUNTY MEDICAL CENTER/ST FRANCIS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2006
Last Update Date: 08/26/2024
Certification Date: 08/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

228 1ST AVE
CANDO ND
58324-7500
US

IV. Provider business mailing address

PO BOX 688
CANDO ND
58324-0688
US

V. Phone/Fax

Practice location:
  • Phone: 701-968-4411
  • Fax: 701-968-2574
Mailing address:
  • Phone: 701-968-4411
  • Fax: 701-968-2574

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number8048A
License Number StateND

VIII. Authorized Official

Name: TAMMY LARSON
Title or Position: CFO
Credential: ACCOUNTANT
Phone: 701-968-2560