THREE AFFILIATED TRIBES DIALYSIS UNIT NPI 1487728630

NPI Information

NPI: 1487728630
Provider Name: THREE AFFILIATED TRIBES DIALYSIS UNIT
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
9281 HIGHWAY 23
NEW TOWN, ND
ZIP 58763
Phone: (701) 627-4840
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THREE AFFILIATED TRIBES DIALYSIS UNIT is an end-stage renal disease (esrd) treatment clinic center in New Town, ND. THREE AFFILIATED TRIBES DIALYSIS UNIT NPI is 1487728630. The provider is registered as an organization entity type.

The provider's business location address is:

9281 HIGHWAY 23
NEW TOWN, ND
ZIP 58763-407
Phone: (701) 627-4840

The provider's authorized official is Stella Berquist .
The authorized official title is Administrator and has the following contact phone number (701) 627-4840.

The enumeration date for this NPI number is 11/20/2006 and was last updated on 8/22/2020.

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	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment	1083625354	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	003123	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: 11/14/2023

NPI Synchronization or Removal

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