Organization
THREE AFFILIATED TRIBES DIALYSIS UNIT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STELLA BERQUIST (ADMINISTRATOR)
(701) 627-4840
Entity
Organization
Contact information
Practice address
9281 HIGHWAY 23, NEW TOWN, ND 58763-9407
(701) 627-4840
Mailing address
9281 HIGHWAY 23, NEW TOWN, ND 58763-9407
(701) 627-4840
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
1083625354
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003123
—
ND
Enumeration date
11/20/2006
Last updated
08/22/2020
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