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NPI Code Detail

MEDICARE: ST GERARDS COMMUNITY OF CARE

MEDICARE: ST GERARDS COMMUNITY OF CARE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility1028AND

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1861458622
Entity Type Code : Organization
Provider Name (Legal Business Name) : ST GERARDS COMMUNITY OF CARE
Provider Business Mailing Address
First Line : PO BOX 448
Second Line : 613 1ST AVE. SW
City : HANKINSON
State : ND
Zip : 58041-0448
Country : US
Telephone Number : 701-242-7891
Fax Number : 701-242-7895
Provider Business Practice Location Address
First Line : 613 1ST AVE SW
Second Line :
City : HANKINSON
State : ND
Zip : 58041-0448
Country : US
Telephone Number : 701-242-7891
Fax Number : 701-242-7896
Authorized Official
Title or Position : ADMINISTRATOR
Name : JILL FOERTSCH
Credential :
Telephone Number : 701-242-7891
Provider Enumeration Date : 04/21/2006
Last Update Date : 12/04/2024

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Directions to “ST GERARDS COMMUNITY OF CARE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.