CITY OF WILLISTON; NPI #1396842332

Contact Information

CITY OF WILLISTON

22 E BROADWAY
WILLISTON, ND 58801-6011

Phone: 701-577-8100
Fax: 701-577-8880
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulance	341600000X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for CITY OF WILLISTON

NPI Number 1396842332

LBN Legal business name CITY OF WILLISTON

Authorized official JOHN KAUTZMAN - (CITY AUDITOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 09/20/2006

Last updated 08/22/2020 - About 6 years ago

Identifiers

ND	License #	131
MT	Medicaid	440700
ND	Medicaid	50101
ND	Other	7008	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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