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Organization

COAL COUNTRY COMMUNITY HEALTH CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KURT WALDBILLIG (CEO)
(701) 873-4445
Entity
Organization

Contact information

Practice address
111 MAIN ST, CENTER, ND 58530-4712
(701) 794-8798
(701) 639-4707
Mailing address
1312 HIGHWAY 49 N, BEULAH, ND 58523-6038
(701) 873-7788
(701) 639-4709

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
05912
ND
01
6103001
BCBS
ND
Enumeration date
12/24/2008
Last updated
01/08/2026
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