Healthcare Provider Details

I. General information

NPI: 1659379436
Provider Name (Legal Business Name): WESTERN PLAINS PUBLIC HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2005
Last Update Date: 03/31/2023
Certification Date: 03/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

403 BURLINGTON ST SE
MANDAN ND
58554-4271
US

IV. Provider business mailing address

403 BURLINGTON ST SE
MANDAN ND
58554-4271
US

V. Phone/Fax

Practice location:
  • Phone: 701-667-3370
  • Fax: 701-667-3371
Mailing address:
  • Phone: 701-667-3370
  • Fax: 701-667-3371

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: ERIN OURADA
Title or Position: ADMINISTRATOR
Credential:
Phone: 701-667-3370