Organization
KIDDER COUNTY PRIMARY HEALTHCARE CORPORATION
Active
Other names
Kidder County Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LIEBERT (CLINIC MANAGER)
(701) 475-2910
Entity
Organization
Contact information
Practice address
110 W BROADWAY, STEELE, ND 58482
(701) 475-2910
(701) 475-2815
Mailing address
PO BOX 54, STEELE, ND 58482-0054
(701) 475-2910
(701) 475-2815
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
6975
ND
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06935001
BCBS
ND
05
—
14152
—
ND
05
—
5189
—
ND
01
—
DF9827
RR MEDICARE
—
Enumeration date
11/01/2006
Last updated
12/08/2014
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