Healthcare Provider Details

I. General information

NPI: 1992839526
Provider Name (Legal Business Name): WISHEK HOSPITAL-CLINIC ASSOCIATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2007
Last Update Date: 09/03/2025
Certification Date: 09/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1007 4TH AVE S
WISHEK ND
58495-0647
US

IV. Provider business mailing address

PO BOX 647 1007 4TH AVE S
WISHEK ND
58495-0647
US

V. Phone/Fax

Practice location:
  • Phone: 701-452-2326
  • Fax: 701-452-2179
Mailing address:
  • Phone: 701-452-2326
  • Fax: 701-452-4276

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code275N00000X
TaxonomyMedicare Defined Swing Bed Hospital Unit
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number5053A
License Number StateND

VIII. Authorized Official

Name: LUKAS FISCHER
Title or Position: CEO
Credential:
Phone: 701-452-2326