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General NPI Number Information
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NPI Number | 1558389338
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Entity Type | Organization
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Legal Business Name | CARRINGTON HEALTH CENTER
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 820 5TH ST N
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City | CARRINGTON
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State | ND
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Zip | 58421
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Country | US
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Telephone | 701-652-2515
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Fax | 701-652-3595
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Provider Business Mailing Address
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Address Line | 820 5TH ST N PO BOX 79
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City | CARRINGTON
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State | ND
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Zip | 58421-1223
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Country | US
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Telephone | 701-652-2515
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Fax | 701-652-3595
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Authorized Official
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Title or Position | CREDENTIALING COORDINATOR
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Name | JAN A HENDERSON
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Credential |
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Telephone | 402-328-2055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State | ND
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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number | 5008
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License Number State | ND
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