35D1055385 CLIA NUMBER - FOSTER COUNTY MEDICAL CENTER

Laboratory Demographics

CLIA Number: 35D1055385

Facility Name: FOSTER COUNTY MEDICAL CENTER

Facility Address:
820 N 5TH ST PO BOX 79
CARRINGTON, ND
ZIP 58421
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Facility Phone Number: 701 652-2515

Facility Type: Rural Health Clinic

Certificate Type: Waiver

NPI Number: 1568877652

Taxonomy: 305S00000X - Point of Service
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

CLIA Record

Field Name	Field Value
CLIA Number	35D1055385
LAB Type	Rural Health Clinic
Facility Name	FOSTER COUNTY MEDICAL CENTER
Street	820 N 5TH ST PO BOX 79
City	CARRINGTON
State	ND
ZIP	58421
Phone	701 652-2515
CertificateType	4
CertificateEffectiveDate	6/15/2022
CertificateExpirationDate	6/14/2024
FacilityType	Waiver

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