Provider Type Icon

FORT BERTHOLD IHS HEALTH CENTER PHARMACY NPI 1851428288


NPI Information

NPI: 1851428288
Provider Name: FORT BERTHOLD IHS HEALTH CENTER PHARMACY

Other Name: MINNIE-TOHE HEALTH CENTER

Classification: Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy - 332800000X
Entity Type: Organization

CLIA Number: 35D2028875

Address:
1 MINNI TOHE DR
NEW TOWN, ND
ZIP 58763
Phone: (701) 627-4701
Get Directions

FORT BERTHOLD IHS HEALTH CENTER PHARMACY is an indian health service tribal urban indian health i t u pharmacy in New Town, ND. The provider is an Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603. FORT BERTHOLD IHS HEALTH CENTER PHARMACY NPI is 1851428288. The provider is registered as an organization entity type.
The provider Other Name Is Minnie-tohe Health Center.

The provider's business location address is:

1 MINNI TOHE DR
NEW TOWN, ND
ZIP 58763-400
Phone: (701) 627-4701
Fax: (701) 627-4318

The provider's authorized official is Michael Forman .
The authorized official title is Ihs Area Pharmacy Consultant and has the following contact phone number (605) 226-7212.

The CLIA number assigned to this NPI record is 35D2028875 - ancillary test site with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/27/2007 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332800000XIndian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacyYes

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
11068MIMEDICAIDNORTH DAKOTA
2AU6063882OTHERPHARMACY DEA NUMBER
33503845OTHERNCPDP NUMBER

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

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.