Organization
RICHLAND COUNTY
Active
Other names
Richland County Family Planning
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA FLACK RN MS (ADMINISTRATOR)
(701) 642-7735
Entity
Organization
Contact information
Practice address
413 3RD AVENUE NORTH, WAHPETON, ND 58075
(701) 642-7735
(701) 642-7746
Mailing address
413 3RD AVENUE NORTH, WAHPETON, ND 58075
(701) 642-7735
(701) 642-7746
Taxonomy
Speciality
Code
Description
License number
State
261QF0050X
Non-Surgical Family Planning Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17590
BCBS
ND
05
—
55150
—
ND
01
—
8300093
MEDICA
—
Enumeration date
11/24/2006
Last updated
03/26/2008
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