NORTH DAKOTA DEPARTMENT OF HEALTH NPI 1770603730

NPI Information

NORTH DAKOTA DEPARTMENT OF HEALTH is a public health and state or local clinic center in Bismarck, ND. NORTH DAKOTA DEPARTMENT OF HEALTH NPI is 1770603730. The provider is registered as an organization entity type.

The provider's business location address is:

600 EAST BOULEVARD AVE
DEPT. 301
BISMARCK, ND
ZIP 58505-200
Phone: (701) 328-2352
Fax: (701) 328-1890

The provider's authorized official is Dirk Donovan Wilke .
The authorized official title is Chief Operating Officer and has the following contact phone number (701) 329-3256.

The CLIA number assigned to this NPI record is 35D2205774 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/30/2007 and was last updated on 10/17/2017.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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