Organization
PYRAMID HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY KOIVULA RN (OFFICE MANAGER)
(701) 534-0109
Entity
Organization
Contact information
Practice address
516 MAIN ST, BOTTINEAU, ND 58318-1203
(701) 534-0109
(866) 640-0723
Mailing address
PO BOX 419, BOTTINEAU, ND 58318-0401
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477108
—
ND
Enumeration date
01/22/2019
Last updated
03/18/2022
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