TIOGA MEDICAL CENTER; NPI #1124092333

Contact Information

TIOGA MEDICAL CENTER

810 N WELO ST
TIOGA, ND 58852-7157

Phone: 701-664-3368
Fax: 701-664-3300
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rural Health	261QR1300X	B4[14]	Rural Health Clinic

Indicates primary specialty

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NPI Profile & details for TIOGA MEDICAL CENTER

NPI # 1124092333

LBN Legal business name TIOGA MEDICAL CENTER

Authorized official RANDALL PEDERSON - (PRESIDENT/CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/14/2006

Last updated 11/22/2016 - About 10 years ago

Identifiers

ND	Medicaid	5021
ND	Other	8516	BCBSND

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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