Organization
KIDDER COUNTY PRIMARY HEALTHCARE CORPORATION
Active
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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