Healthcare Provider Details

I. General information

NPI: 1124041389
Provider Name (Legal Business Name): TOWNER COUNTY MEDICAL CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2006
Last Update Date: 07/30/2024
Certification Date: 07/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

228 1ST AVE
CANDO ND
58324-7500
US

IV. Provider business mailing address

PO BOX 688
CANDO ND
58324-0688
US

V. Phone/Fax

Practice location:
  • Phone: 701-698-2541
  • Fax:
Mailing address:
  • Phone: 701-968-2556
  • Fax: 701-968-2574

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: TAMMY L LARSON
Title or Position: CFO
Credential:
Phone: 701-968-2560