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TIOGA MEDICAL CENTER NPI 1124092333


NPI Information

NPI: 1124092333
Provider Name: TIOGA MEDICAL CENTER

Other Name: TIOGA MEDICAL CENTER-TIOGA RHC

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
810 N WELO ST
TIOGA, ND
ZIP 58852
Phone: (701) 664-3368
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TIOGA MEDICAL CENTER is a rural health clinic center in Tioga, ND. TIOGA MEDICAL CENTER NPI is 1124092333. The provider is registered as an organization entity type.
The provider Other Name Is Tioga Medical Center-tioga Rhc.

The provider's business location address is:

810 N WELO ST
TIOGA, ND
ZIP 58852-157
Phone: (701) 664-3368
Fax: (701) 664-3300

The provider's authorized official is Randall K. Pederson .
The authorized official title is President/ceo and has the following contact phone number (701) 664-3368.

The enumeration date for this NPI number is 2/14/2006 and was last updated on 11/22/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR1300XClinic/CenterRural HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18516OTHERNORTH DAKOTABCBSND
25021MEDICAIDNORTH DAKOTA
3353986MEDICARE OSCAR/CERTIFICATIONNORTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.