CAVALIER COUNTY HEALTH DISTRICT NPI 1174566335

NPI Information

NPI: 1174566335
Provider Name: CAVALIER COUNTY HEALTH DISTRICT
Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization
CLIA Number: 35D0858262
Address: 901 3RD ST
LANGDON, ND
ZIP 58249
Phone: (701) 256-2402

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NPI Details

CAVALIER COUNTY HEALTH DISTRICT is a public health or welfare in Langdon, ND. CAVALIER COUNTY HEALTH DISTRICT NPI is 1174566335. The provider is registered as an organization entity type.

The provider's business location address is:

901 3RD ST
LANGDON, ND
ZIP 58249-457
Phone: (701) 256-2402
Fax: (701) 256-5765

The provider's authorized official is Terri Gustafson .
The authorized official title is Administrator and has the following contact phone number (701) 256-2402.

The CLIA number assigned to this NPI record is 35D0858262 - public health laboratories with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Administration of influenza virus vaccine (HCPCS:G0008)
Influenza vaccine split virus, preservative free (HCPCS:90662)
Admn sarscov2 vacc 1 dose (HCPCS:90480)
Sarscov2 vac 50 mcg/0.5ml im (HCPCS:91322)
Sarscv2 vac 30mcg trs-suc im (HCPCS:91320)
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)
Administration of pneumococcal vaccine (HCPCS:G0009)
Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home (HCPCS:M0201)

The enumeration date for this NPI number is 6/14/2006 and was last updated on 11/6/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251K00000X	Public Health or Welfare		R19635	NORTH DAKOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	N70481	MEDICARE PIN	NORTH DAKOTA
2	58512	MEDICAID	NORTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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