National Provider Identifier Database

KIDDER COUNTY PRIMARY HEALTHCARE CORPORATION
Rural Health


Contact Information

KIDDER COUNTY PRIMARY HEALTHCARE CORPORATION
110 W BROADWAY
STEELE, ND58482
Phone: 701-475-2910
Fax: 701-475-2815
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X
Clinic/Center 261Q00000X

* Indicates primary specialty

NPI Profile & details for KIDDER COUNTY PRIMARY HEALTHCARE CORPORATION

NPI Number 1487731030
Legal business name
LBN
KIDDER COUNTY PRIMARY HEALTHCARE CORPORATION
Authorized official JENNIFER LIEBERT - (CLINIC MANAGER)
Entity Organization
Organization subpart No
Enumeration date 11/01/2006
Last updated 12/08/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • ND License #: 6975
  • ND Medicaid: 14152
  • ND Medicaid: 5189
  • Other: DF9827 RR MEDICARE
  • ND Other: 06935001 BCBS

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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