Organization
SOUTHWESTERN DIST HEALTH UNIT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CARLOTTA F EHLIS (ADMINISTRATOR)
(701) 483-0171
Entity
Organization
Contact information
Practice address
2869 3RD AVE W, DICKINSON, ND 58601
(701) 483-0171
(701) 483-4097
Mailing address
2869 3RD AVE W, DICKINSON, ND 58601-2600
(701) 483-0171
(701) 483-4097
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
57985
—
ND
Enumeration date
04/23/2007
Last updated
02/04/2008
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