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Organization

UPPER MISSOURI DISTRICT HEALTH UNIT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MIKE MELIUS (EXECUTIVE OFFICER)
(701) 774-6418
Entity
Organization

Contact information

Practice address
110 W BROADWAY, STE 101, WILLISTON, ND 58801-6056
(701) 774-6400
(701) 577-8536
Mailing address
110 W BROADWAY, STE 101, WILLISTON, ND 58801-6056
(701) 774-6400
(701) 577-8536

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
31057
BC BS OF ND
ND
01
31058
BC BS OF ND
ND
01
31059
BC BS OF ND
ND
01
31060
BC BS OF ND
ND
Enumeration date
04/28/2008
Last updated
05/30/2008
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