Healthcare Provider Details

I. General information

NPI: 1275802316
Provider Name (Legal Business Name): ST. JOSEPH'S HOSPITAL AND HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2011
Last Update Date: 12/19/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

227 16TH ST W
DICKINSON ND
58601-4675
US

IV. Provider business mailing address

227 16TH ST W
DICKINSON ND
58601-4675
US

V. Phone/Fax

Practice location:
  • Phone: 701-227-7900
  • Fax: 701-227-7985
Mailing address:
  • Phone: 701-227-7900
  • Fax: 701-227-7985

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: REED REYMAN
Title or Position: CEO
Credential:
Phone: 701-456-4390