Organization
KIDDER COUNTY DISTRICT HEALTH UNIT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANEL M BROUSSEAU (ADMINISTRATOR/BOOKKEEPER)
(701) 475-2582
Entity
Organization
Contact information
Practice address
422 2ND AVE NW, STEELE, ND 58482-7320
(701) 475-2582
(701) 475-2652
Mailing address
422 2ND AVE NW, STEELE, ND 58482-7320
(701) 475-2582
(701) 475-2652
Taxonomy
Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
57994
—
ND
Enumeration date
09/16/2006
Last updated
08/22/2020
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