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General NPI Number Information
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NPI Number | 1992947956
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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 | 04/06/2009
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Last Update Date | 03/20/2025
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Provider Practice Location Address
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Address Line | 2500 FAIRWAY ST
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City | DICKINSON
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State | ND
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Zip | 58601
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Country | US
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Telephone | 701-456-4000
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Fax | 701-456-4800
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Provider Business Mailing Address
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Address Line | 2500 FAIRWAY ST
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City | DICKINSON
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State | ND
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Zip | 58601
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Country | US
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Telephone | 701-456-4000
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Fax | 701-456-4800
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Authorized Official
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Title or Position | VP OPERATIONAL FINANCE
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Name | JOSEPH LAWRENCE RUARK
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Credential |
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Telephone | 701-774-7408
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 5054A
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License Number State | ND
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Taxonomy #2
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Taxonomy Code | 261QC0050X
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Taxonomy Name | Critical Access Hospital Clinic/Center
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License Number | 5054
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License Number State | ND
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Taxonomy #3
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 5054
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License Number State | ND
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