Organization
COAL COUNTRY COMMUNITY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KURT WALDBILLIG (CEO)
(701) 873-4445
Entity
Organization
Contact information
Practice address
220 4TH AVE SW, KILLDEER, ND 58640-8500
(701) 764-5822
(701) 639-4731
Mailing address
1312 HIGHWAY 49 N, BEULAH, ND 58523-6038
(701) 764-5822
(701) 639-4731
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1464996
—
ND
Enumeration date
05/22/2015
Last updated
01/08/2026
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