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General NPI Number Information
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NPI Number | 1669491262
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Entity Type | Organization
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Legal Business Name | ST JOSEPH'S HOSPITAL AND HEALTH CENTER
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 95 2ND ST NW
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City | BEACH
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State | ND
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Zip | 58621-0940
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Country | US
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Telephone | 701-872-3777
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Fax |
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Provider Business Mailing Address
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Address Line | 95 2ND ST NW
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City | BEACH
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State | ND
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Zip | 58621-0940
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Country | US
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Telephone | 701-872-3777
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Fax |
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Authorized Official
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Title or Position | VP OF FINANCE
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Name | JOSEPH RUARK
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Credential |
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Telephone | 701-872-3777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number | 5054A
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License Number State | ND
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