Manor St Joseph

LBN: Manor St Joseph
Manor St Joseph is an health care organization with primary practice located at 404 4Th Ave , Edgeley ND 58433-7417. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty. Manor St Joseph can be contacted via phone (701) 493-2477, or through Jangula, Tammy via phone (701) 493-2477.

Contact Information

Primary practice address
404 4Th Ave Edgeley ND 58433-7417
Phone: (701) 493-2477
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jangula, Tammy
Phone: (701) 493-2477

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 8009 North Dakota

Profile Details

NPI number 1174938773
LBN Legal business name Manor St Joseph
DBA Doing business as
Authorized official Jangula, Tammy
Entity Organization
Organization subpart 1 No
Enumeration date Jun 23rd, 2014
Last updated Jun 23rd, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174938773 NPPES
North Dakota MEDICAID 30709

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