KIDDER COUNTY PRIMARY HEALTHCARE CORPORATION NPI 1487731030

NPI Information

NPI: 1487731030
Provider Name: KIDDER COUNTY PRIMARY HEALTHCARE CORPORATION

Doing Business As: KIDDER COUNTY COMMUNITY HEALTH CENTER

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
110 W BROADWAY
STEELE, ND
ZIP 58482
Phone: (701) 475-2910
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KIDDER COUNTY PRIMARY HEALTHCARE CORPORATION is a rural health clinic center in Steele, ND. KIDDER COUNTY PRIMARY HEALTHCARE CORPORATION NPI is 1487731030. The provider is registered as an organization entity type.
The provider Is Doing Business As Kidder County Community Health Center.

The provider's business location address is:

110 W BROADWAY
STEELE, ND
ZIP 58482
Phone: (701) 475-2910
Fax: (701) 475-2815

The provider's authorized official is Jennifer Liebert .
The authorized official title is Clinic Manager and has the following contact phone number (701) 475-2910.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 12/8/2014.

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	261Q00000X	Clinic/Center		6975	NORTH DAKOTA	No
2	261QR1300X	Clinic/Center	Rural Health			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	5189	MEDICAID	NORTH DAKOTA
2	N712479 PART B	MEDICARE PIN
3	353854 PART A	MEDICARE PIN
4	06935001	OTHER	NORTH DAKOTA	BCBS
5	14152	MEDICAID	NORTH DAKOTA
6	N712479	MEDICARE PIN	NORTH DAKOTA
7	DF9827	OTHER		RR MEDICARE

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: 5/5/2024

NPI Synchronization or Removal

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