Healthcare Provider Details

I. General information

NPI: 1821637828
Provider Name (Legal Business Name): CHRISTIAN UNITY HOSPITAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/23/2019
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

503 PARK ST W STE B
PARK RIVER ND
58270-4138
US

IV. Provider business mailing address

164 W 13TH ST
GRAFTON ND
58237-1826
US

V. Phone/Fax

Practice location:
  • Phone: 701-284-6663
  • Fax: 701-284-6923
Mailing address:
  • Phone: 701-352-1620
  • Fax: 701-352-9397

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DARLA M HANSON
Title or Position: SUPERVISOR
Credential:
Phone: 701-352-1620