CUSTER HEALTH NPI 1659379436

NPI Information

NPI: 1659379436
Provider Name: CUSTER HEALTH
Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization

CLIA Number: 35D0695365

Address:
403 BURLINGTON ST SE
MANDAN, ND
ZIP 58554
Phone: (701) 667-3370
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CUSTER HEALTH is a public health or welfare in Mandan, ND. CUSTER HEALTH NPI is 1659379436. The provider is registered as an organization entity type.

The provider's business location address is:

403 BURLINGTON ST SE
MANDAN, ND
ZIP 58554-271
Phone: (701) 667-3370
Fax: (701) 667-3371

The provider's authorized official is Keith M Johnson .
The authorized official title is Administrator and has the following contact phone number (701) 667-3370.

The CLIA number assigned to this NPI record is 35D0695365 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/14/2005 and was last updated on 6/28/2018.

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				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	600000303	OTHER	NORTH DAKOTA	RAILROAD MEDICARE PART B
2	057988	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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