Cooperstown Medical Center

NPI #1285726067 in Cooperstown, North Dakota

Provider Information

NPI Number
1285726067
Entity Type
Organization
Organization Name
Cooperstown Medical Center
Subpart
Yes (part of a larger organization)
Parent Organization
COOPERSTOWN MEDICAL CENTER
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Sep 29, 2006
Last Updated
May 14, 2008

Practice Location

Address
1200 ROBERTS AVE NE
ZIP Code
58425-7101
Phone
(701) 797-2221

Authorized Official

Name
GREGORY STOMP, RN, LNHA
Title
ADMINISTRATOR/CEO
Phone
(701) 797-2221

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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