Organization
TIOGA MEDICAL CENTER
Active
Organization
TIOGA MEDICAL CENTER
Active
Other names
Tioga Medical Center-Ray RHC
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL K. PEDERSON (PRESIDENT/CEO)
(701) 664-3305
Entity
Organization
Contact information
Practice address
RAY MINI MALL, RAILROAD AVE, RAY, ND 58849
(701) 568-3624
Mailing address
PO BOX 159, TIOGA, ND 58852-0159
(701) 664-3305
(701) 664-2240
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5024
—
ND
01
—
8557
BCBSND
ND
Enumeration date
02/16/2006
Last updated
09/09/2008
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