COOPERSTOWN MEDICAL CENTER; NPI #1962548214

Contact Information

COOPERSTOWN MEDICAL CENTER

107 12TH ST S
COOPERSTOWN, ND 58425-4501

Phone: 701-786-1709
Fax: 701-786-7121
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 COOPERSTOWN MEDICAL CENTER

NPI # 1962548214

LBN Legal business name COOPERSTOWN MEDICAL CENTER

Authorized official KELLEY SHAWN - (ADMIN ASSIST/CREDENTIALING)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 01/30/2007

Last updated 09/08/2023 - About 3 years ago

Identifiers

ND	Medicaid	5000
ND	Other	4770	BLUE CROSS BLUE SHIELD

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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COOPERSTOWN MEDICAL CENTER

Contact Information

Specialty

Rural Health

NPI Profile & details for COOPERSTOWN MEDICAL CENTER

Reviews for COOPERSTOWN MEDICAL CENTER