Organization
UPPER MISSOURI DISTRICT HEALTH UNIT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE MELIUS (EXECUTIVE OFFICER)
(701) 774-6418
Entity
Organization
Contact information
Practice address
110 W BROADWAY, STE 101, WILLISTON, ND 58801-6056
(701) 774-6400
(701) 577-8536
Mailing address
110 W BROADWAY, STE 101, WILLISTON, ND 58801-6056
(701) 774-6400
(701) 577-8536
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
53588
—
ND
05
—
58032
—
ND
Enumeration date
05/24/2005
Last updated
09/13/2011
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