Organization
CAVALIER COUNTY HEALTH DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRI GUSTAFSON (ADMINISTRATOR)
(701) 256-2402
Entity
Organization
Contact information
Practice address
901 3RD ST, LANGDON, ND 58249-2457
(701) 256-2402
(701) 256-5765
Mailing address
901 3RD ST STE 11, STE 11, LANGDON, ND 58249-2457
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
R19635
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
58512
—
ND
Enumeration date
06/14/2006
Last updated
11/06/2007
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