# COAL COUNTRY COMMUNITY HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sandhills Community Health Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912143868
- **Authorized official:** DAWN BERG (CEO)
- **Authorized official phone:** (701) 873-7788

## Contact information

- **Practice address:** NO. 2 3RD AVE. SW, TOWNER, ND 58788
- **Practice address phone:** (701) 537-2007
- **Practice address fax:** (701) 537-5407
- **Mailing address:** 1312 HIGHWAY 49 N, BEULAH, ND 58523-6038
- **Mailing address phone:** (701) 873-7788
- **Mailing address fax:** (701) 873-4485

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/24/2008
- **Last updated:** 12/24/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 05909 | — | ND |