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Organization

COOPERSTOWN MEDICAL CENTER

Active
Other names
Dakota Regional Medical Center Lakota RHC, Dakota Regional Medical Center
Organization subpart
No

Provider details

NPI number
Authorized official
KELLEY SHAWN (ADMIN ASSIST/CREDENTIALING)
(701) 786-1709
Entity
Organization

Contact information

Practice address
117 2ND ST W, LAKOTA, ND 58344-7320
(701) 786-1700
(701) 786-7121
Mailing address
107 12TH ST S, COOPERSTOWN, ND 58425-4501
(701) 786-1709
(701) 786-7121

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary

Other

Enumeration date
09/30/2021
Last updated
02/20/2024
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