NPI Code Details Logo

NPI 1659379436

NPI 1659379436 : WESTERN PLAINS PUBLIC HEALTH : MANDAN, ND

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1659379436
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    WESTERN PLAINS PUBLIC HEALTH 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/14/2005
-----------------------------------------------------
    Last Update Date     |    03/31/2023
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    403 BURLINGTON ST SE 
-----------------------------------------------------
    City                 |    MANDAN
-----------------------------------------------------
    State                |    ND
-----------------------------------------------------
    Zip                  |    58554-4271
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    701-667-3370
-----------------------------------------------------
    Fax                  |    701-667-3371
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    403 BURLINGTON ST SE 
-----------------------------------------------------
    City                 |    MANDAN
-----------------------------------------------------
    State                |    ND
-----------------------------------------------------
    Zip                  |    58554-4271
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    701-667-3370
-----------------------------------------------------
    Fax                  |    701-667-3371
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    ADMINISTRATOR
-----------------------------------------------------
    Name                 |     ERIN  OURADA 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    701-667-3370
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    251K00000X
-----------------------------------------------------
    Taxonomy Name        |    Public Health or Welfare Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.