Organization
TIOGA MEDICAL CENTER
Active
Parent organization
TIOGA MEDICAL CENTER
Other names
Tioga Medical Center Swingbed
Organization subpart
Yes
Provider details
NPI number
Legal business name
TIOGA MEDICAL CENTER
Authorized official
RANDALL K PEDERSON (PRESIDENT/CEO)
(701) 664-3305
Entity
Organization
Contact information
Practice address
810 N WELO ST, TIOGA, ND 58852-7157
(701) 664-3305
(701) 664-2240
Mailing address
PO BOX 159, TIOGA, ND 58852-0159
(701) 664-3305
(701) 664-2240
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
5048P
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1948
—
ND
01
—
2790
ND BCBSND
ND
Enumeration date
01/30/2006
Last updated
04/22/2010
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