Organization
TIOGA MEDICAL CENTER
Active
Organization
TIOGA MEDICAL CENTER
Active
Other names
Tioga Medical Center-Tioga RHC
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL K. PEDERSON (PRESIDENT/CEO)
(701) 664-3368
Entity
Organization
Contact information
Practice address
810 N WELO ST, TIOGA, ND 58852-7157
(701) 664-3368
(701) 664-3300
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
—
5021
—
ND
01
—
8516
BCBSND
ND
Enumeration date
02/14/2006
Last updated
11/22/2016
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