Ashley Medical Center

Organization Active NPI Community Based Hospice Care Agency · Ashley, ND

NPI 1780784108 · NPPES record last updated Apr 30, 2013

Key facts

NPI
1780784108
Entity type
Organization (NPI type 2)
Primary specialty
Community Based Hospice Care Agency 251G00000X
License
6012A (ND)
Legal business name
ASHLEY MEDICAL CENTER
Practice address
612 Center Ave N
Ashley, ND 58413-7013
Phone
(701) 288-3433
Fax
(701) 288-3938
NPI assigned
Sep 25, 2006
Organization subpart
Yes
Parent organization (as reported)
ASHLEY MEDICAL CENTER

Authorized official

Name
Mr. Jerry Lee Lepp
Title
Administrator/Ceo
Phone
(701) 288-3433

National Provider Directory

Part of
Ashley Medical Ctr

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 6012A ND Yes

Addresses

Primary practice location

612 Center Ave N
Ashley, ND 58413-7013

Mailing address

PO Box 450
612 Center Ave North
Ashley, ND 58413-0450
Phone (701) 288-3433

Other identifiers

IdentifierTypeStateIssuer
58654MedicaidND
8920OtherNDHOSPICE

Other names

  • Ashley Medical Center Hospice Doing business as

Other providers in Ashley, ND

All providers in Ashley, ND · Community Based Hospice Care Agency in North Dakota

Sources for this page

Verify at the official NPI Registry.