# HAZEN MEMORIAL HOSPITAL ASSOCIATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SAKAKAWEA CLINIC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356315220
- **Authorized official:** KURT WALDBILLIG (CEO)
- **Authorized official phone:** (701) 748-2225

## Contact information

- **Practice address:** 510 8TH AVE NE, HAZEN, ND 58545-4637
- **Practice address phone:** (701) 748-2225
- **Practice address fax:** (701) 639-4343
- **Mailing address:** 510 8TH AVE NE, HAZEN, ND 58545-4637
- **Mailing address phone:** (701) 748-2225
- **Mailing address fax:** (701) 639-4343

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 5024A | ND | Yes |

## Other

- **Enumeration date:** 02/15/2006
- **Last updated:** 03/25/2024