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UPPER MISSOURI DISTRICT HEALTH UNIT NPI 1689677585


NPI Information

NPI: 1689677585
Provider Name: UPPER MISSOURI DISTRICT HEALTH UNIT
Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization

CLIA Number: 35D0672751

Address:
110 W BROADWAY
STE 101
WILLISTON, ND
ZIP 58801
Phone: (701) 774-6400
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UPPER MISSOURI DISTRICT HEALTH UNIT is a public health or welfare in Williston, ND. UPPER MISSOURI DISTRICT HEALTH UNIT NPI is 1689677585. The provider is registered as an organization entity type.

The provider's business location address is:

110 W BROADWAY
STE 101
WILLISTON, ND
ZIP 58801-056
Phone: (701) 774-6400
Fax: (701) 577-8536

The provider's authorized official is Mike Melius .
The authorized official title is Executive Officer and has the following contact phone number (701) 774-6418.

The CLIA number assigned to this NPI record is 35D0672751 - public health laboratories with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/24/2005 and was last updated on 9/13/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251K00000XPublic Health or WelfareYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16314MEDICARE ID-TYPE UNSPECIFIEDNORTH DAKOTA
253588MEDICAIDNORTH DAKOTA
358032MEDICAIDNORTH 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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.