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General NPI Number Information
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NPI Number | 1447561139
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Entity Type | Organization
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Legal Business Name | MOUNTRAIL COUNTY MEDICAL CENTER, INC.
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Dates
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Enumeration Date | 06/28/2010
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Last Update Date | 11/01/2022
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Provider Practice Location Address
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Address Line | 615 6TH ST SE
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City | STANLEY
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State | ND
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Zip | 58784-4444
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Country | US
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Telephone | 701-628-3990
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 399
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City | STANLEY
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State | ND
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Zip | 58784-0399
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO/ADMINISTRATOR
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Name | STEPHANIE EVERETT
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Credential |
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Telephone | 701-682-2424
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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 |
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License Number State |
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