National Provider Identifier Database

COOPERSTOWN MEDICAL CENTER
Rural Health


Contact Information

COOPERSTOWN MEDICAL CENTER
107 12TH ST S
COOPERSTOWN, ND58425-4501
Phone: 701-786-1709
Fax: 701-786-7121
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X

* Indicates primary specialty

NPI Profile & details for COOPERSTOWN MEDICAL CENTER

NPI Number 1962548214
Legal business name
LBN
COOPERSTOWN MEDICAL CENTER
Authorized official KELLEY SHAWN - (ADMIN ASSIST/CREDENTIALING)
Entity Organization
Organization subpart Yes
Enumeration date 01/30/2007
Last updated 09/08/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • ND Medicaid: 5000
  • ND Other: 4770 BLUE CROSS BLUE SHIELD

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.

Reviews for COOPERSTOWN MEDICAL CENTER

There are currently no reviews for COOPERSTOWN MEDICAL CENTER


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