Tioga Medical Center-wildrose Rhc | |
Main Street Wildrose ND 58795 | |
(701) 539-2051 | |
Not Available |
Full Name | Tioga Medical Center-wildrose Rhc |
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Speciality | Clinic/center - Rural Health |
Location | Main Street, Wildrose, North Dakota |
Authorized Official Name and Position | Randall K. Pederson (PRESIDENT/CEO) |
Authorized Official Contact | 7016643305 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Tioga Medical Center-wildrose Rhc Po Box 159 Tioga ND 58852-0159 Ph: (701) 664-3305 | Tioga Medical Center-wildrose Rhc Main Street Wildrose ND 58795 Ph: (701) 539-2051 |
NPI Number | 1255305033 |
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Provider Enumeration Date | 02/16/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255305033 | NPI | - | NPPES |
2634 | Other | ND | BCBSND |
5046 | Medicaid | ND |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |