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General NPI Number Information
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NPI Number | 1376584623
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Entity Type | Organization
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Legal Business Name | WISHEK HOSPITAL-CLINIC ASSOCIATION
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Dates
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Enumeration Date | 06/09/2006
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 1015 4TH AVE S
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City | WISHEK
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State | ND
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Zip | 58495
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Country | US
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Telephone | 701-452-2364
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Fax | 701-452-4276
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Provider Business Mailing Address
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Address Line | PO BOX 647
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City | WISHEK
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State | ND
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Zip | 58495-0647
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Country | US
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Telephone | 701-452-2326
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Fax | 701-452-2179
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Authorized Official
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Title or Position | CEO
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Name | LUKAS FISCHER
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Credential |
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Telephone | 701-452-2326
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number | 5053A
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License Number State | ND
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