Tioga Medical Center-Powers Lake Rhc

LBN: Tioga Medical Center
Tioga Medical Center-Powers Lake Rhc is an health care organization with primary practice located at Main Street , Powers Lake ND 58773. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Tioga Medical Center can be contacted via phone (701) 464-5668, or through Pederson, Randall K. via phone (701) 664-3305.

Contact Information

Primary practice address
Main Street Powers Lake ND 58773
Phone: (701) 464-5668
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pederson, Randall K.
Phone: (701) 664-3305

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1740254523
LBN Legal business name Tioga Medical Center
DBA Doing business as Tioga Medical Center-Powers Lake Rhc
Authorized official Pederson, Randall K.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 16th, 2006
Last updated Nov 18th, 2014 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740254523 NPPES
North Dakota Other 8557 BCBSND
North Dakota MEDICAID 5023 BCBSND

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