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NPI Code Detail

MEDICARE: NORTHWEST BEHAVIORAL HEALTH CLINIC

MEDICARE: NORTHWEST BEHAVIORAL HEALTH CLINIC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1295255933
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTHWEST BEHAVIORAL HEALTH CLINIC
Provider Business Mailing Address
First Line : PO BOX 1266
Second Line :
City : WILLISTON
State : ND
Zip : 58802-1266
Country : US
Telephone Number : 701-774-4600
Fax Number : 701-774-4620
Provider Business Practice Location Address
First Line : 316 2ND AVE W
Second Line :
City : WILLISTON
State : ND
Zip : 58801-5218
Country : US
Telephone Number : 701-774-4600
Fax Number : 701-774-4620
Authorized Official
Title or Position : ASSISTANT CFO - DHS
Name : DONNA AUKLAND
Credential :
Telephone Number : 701-328-4924
Provider Enumeration Date : 06/23/2017
Last Update Date : 04/01/2026

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Directions to “NORTHWEST BEHAVIORAL HEALTH CLINIC ” Practice Location

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