Healthcare Provider Details

I. General information

NPI: 1871665398
Provider Name (Legal Business Name): OAKES COMMUNITY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2006
Last Update Date: 01/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 N 7TH ST
OAKES ND
58474-2502
US

IV. Provider business mailing address

1200 N 7TH ST
OAKES ND
58474-2502
US

V. Phone/Fax

Practice location:
  • Phone: 701-742-3291
  • Fax: 701-742-3639
Mailing address:
  • Phone: 701-742-3291
  • Fax: 701-742-3639

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number4027A
License Number StateND

VIII. Authorized Official

Name: LEE BOYLES
Title or Position: ADMINISTRATOR
Credential:
Phone: 701-742-3291