Organization
TOWNER COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE CICHOS (ADMINISTRATIVE STAFF OFFICER)
(701) 662-7050
Entity
Organization
Contact information
Practice address
315 2ND ST, CANDO, ND 58324-0604
(701) 968-4355
Mailing address
315 2ND ST., CANDO, ND 58324-0604
(701) 968-4355
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38848
—
ND
05
—
50758
—
ND
Enumeration date
08/12/2015
Last updated
08/12/2015
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