NPI Code Details Logo

NPI 1932300951

NPI 1932300951 : WISHEK HOSPITAL-CLINIC ASSOCIATION : KULM, ND

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1932300951
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    WISHEK HOSPITAL-CLINIC ASSOCIATION 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    05/29/2007
-----------------------------------------------------
    Last Update Date     |    09/04/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    4 1ST AVE SE 
-----------------------------------------------------
    City                 |    KULM
-----------------------------------------------------
    State                |    ND
-----------------------------------------------------
    Zip                  |    58456
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    701-647-2345
-----------------------------------------------------
    Fax                  |    701-647-2347
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    PO BOX 647 
-----------------------------------------------------
    City                 |    WISHEK
-----------------------------------------------------
    State                |    ND
-----------------------------------------------------
    Zip                  |    58495-0647
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    701-452-2326
-----------------------------------------------------
    Fax                  |    701-452-4276
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CEO
-----------------------------------------------------
    Name                 |     LUKAS  FISCHER 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    701-452-2326
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    261QR1300X
-----------------------------------------------------
    Taxonomy Name        |    Rural Health Clinic/Center
-----------------------------------------------------
    License Number       |    5053A
-----------------------------------------------------
    License Number State |    ND
-----------------------------------------------------



                        

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