Provider Demographics
NPI:1437234911
Name:STRASBURG NURSING HOME
Entity type:Organization
Organization Name:STRASBURG NURSING HOME
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:SCHUMACHER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:1701-336-2651
Mailing Address - Street 1:409 S 3RD ST
Mailing Address - Street 2:
Mailing Address - City:STRASBURG
Mailing Address - State:ND
Mailing Address - Zip Code:58573-7107
Mailing Address - Country:US
Mailing Address - Phone:701-336-2651
Mailing Address - Fax:701-336-7558
Practice Address - Street 1:409 S 3RD ST
Practice Address - Street 2:
Practice Address - City:STRASBURG
Practice Address - State:ND
Practice Address - Zip Code:58573-7107
Practice Address - Country:US
Practice Address - Phone:701-336-2651
Practice Address - Fax:701-336-7558
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-25
Last Update Date:2010-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND1050A314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND35-5049Medicare ID - Type Unspecified