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COOPERSTOWN MEDICAL CENTER NPI 1821760679


NPI Information

NPI: 1821760679
Provider Name: COOPERSTOWN MEDICAL CENTER

Doing Business As: DAKOTA REGIONAL MEDICAL CENTER

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

Specialization: Rural Health

CLIA Number: 35D2236109

Address:
117 2ND ST W
LAKOTA, ND
ZIP 58344
Phone: (701) 786-1700
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COOPERSTOWN MEDICAL CENTER is a rural health clinic center in Lakota, ND. COOPERSTOWN MEDICAL CENTER NPI is 1821760679. The provider is registered as an organization entity type.
The provider Is Doing Business As Dakota Regional Medical Center.

The provider's business location address is:

117 2ND ST W
LAKOTA, ND
ZIP 58344-320
Phone: (701) 786-1700
Fax: (701) 786-7121

The provider's authorized official is Kelley Shawn .
The authorized official title is Admin Assist/credentialing and has the following contact phone number (701) 786-1709.

The CLIA number assigned to this NPI record is 35D2236109 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/30/2021 and was last updated on 2/20/2024.


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

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.