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Contact Information

KIDDER COUNTY PRIMARY HEALTHCARE CORPORATION
110 W BROADWAY
STEELE, ND58482
 Phone: 701-475-2910
 Fax: 701-475-2815
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rural Health

261QR1300X B4[14] Rural Health Clinic
 

Clinic/Center

261Q00000X
Indicates primary specialty

NPI Profile & details for KIDDER COUNTY PRIMARY HEALTHCARE CORPORATION

NPI # 1487731030
LBN Legal business name KIDDER COUNTY PRIMARY HEALTHCARE CORPORATION
Authorized official JENNIFER LIEBERT - (CLINIC MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/01/2006
Last updated 12/08/2014 - About 12 years ago
Identifiers
ND License # 6975
ND Medicaid 14152
ND Medicaid 5189
Other DF9827 RR MEDICARE
ND Other 06935001 BCBS
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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