MANDAREE COMMUNITY CLINIC NPI 1194106997

NPI Information

  • NPI: 1194106997
  • Provider Name: MANDAREE COMMUNITY CLINIC
  • Classification: Clinic/Center - 261QC1500X
  • Specialization: Community Health
  • Entity Type: Organization
  • Address: 404 RIDGE ROAD
    MANDAREE, ND
    ZIP 58757
  • Phone: (701) 421-1357

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NPI Details

MANDAREE COMMUNITY CLINIC is a community health clinic center in Mandaree, ND. MANDAREE COMMUNITY CLINIC NPI is 1194106997. The provider is registered as an organization entity type.

The provider's business location address is:

404 RIDGE ROAD
MANDAREE, ND
ZIP 58757
Phone: (701) 421-1357

The provider's authorized official is Kurt Benji Kitagawa .
The authorized official title is Medical Director and has the following contact phone number (308) 660-9321.

The enumeration date for this NPI number is 6/17/2015 and was last updated on 2/15/2016.

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
1261QC1500XClinic/CenterCommunity Health38,708,300NORTH DAKOTAYes

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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