NPI 1215256078
Eventide Jamestown LLC
Practice location
- Address
- 1300 2nd Pl NE, Jamestown, ND 58401-3709
- Phone
- (218) 233-7508
- Mailing address
- 1405 7th St S, Moorhead, MN 56560-3444
Authorised official
- Name
- Wade E Stubson
- Title
- Cfo
- Phone
- (218) 291-2216
Registered specialties
Skilled Nursing Facility
Primary
Registry record
- NPI
- 1215256078
- Entity type
- Organization
- NPI issued
- 19 May 2010
- Record last updated
- 11 Apr 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.