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NPI Code Detail

MEDICARE: UPPER MISSOURI DISTRICT HEALTH UNIT

MEDICARE: UPPER MISSOURI DISTRICT HEALTH UNIT
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
1251K00000XPublic Health or Welfare Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1689677585
Entity Type Code : Organization
Provider Name (Legal Business Name) : UPPER MISSOURI DISTRICT HEALTH UNIT
Provider Business Mailing Address
First Line : 110 W BROADWAY
Second Line : STE 101
City : WILLISTON
State : ND
Zip : 58801-6056
Country : US
Telephone Number : 701-774-6400
Fax Number : 701-577-8536
Provider Business Practice Location Address
First Line : 110 W BROADWAY
Second Line : STE 101
City : WILLISTON
State : ND
Zip : 58801-6056
Country : US
Telephone Number : 701-774-6400
Fax Number : 701-577-8536
Authorized Official
Title or Position : EXECUTIVE OFFICER
Name : MR. MIKE MELIUS
Credential :
Telephone Number : 701-774-6418
Provider Enumeration Date : 05/24/2005
Last Update Date : 09/13/2011

Similar Medicare Providers

1083889430 — UPPER MISSOURI DISTRICT HEALTH UNIT
Practice Location Address:
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1962813121 — KARIN OCAIN
Practice Location Address:
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58801-6056
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Practice Fax:
1932510062 — ANGELA OELKE
Practice Location Address:
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Practice Fax:
1285045971 — SHERI STEVENS
Practice Location Address:
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Directions to “UPPER MISSOURI DISTRICT HEALTH UNIT ” Practice Location

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