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35D0408894 CLIA NUMBER - MISSOURI SLOPE LUTHERAN CARE CENTER

Laboratory Demographics

CLIA Number: 35D0408894

Facility Name: MISSOURI SLOPE LUTHERAN CARE CENTER

Facility Address:
2425 HILLVIEW AVE
BISMARCK, ND
ZIP 58501
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Facility Phone Number: 701 223-9407

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver
NPI Number: 1518911700

Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

CLIA Record

Field Name Field Value
CLIA Number 35D0408894
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MISSOURI SLOPE LUTHERAN CARE CENTER
Street 2425 HILLVIEW AVE
City BISMARCK
State ND
ZIP 58501
Phone 701 223-9407
CertificateType 4
CertificateEffectiveDate 9/1/2022
CertificateExpirationDate 8/31/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024