Coal Country Community Health Center

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

COAL COUNTRY COMMUNITY HEALTH CENTER

Practice address

914 S 12TH St Ste 101a
Bismarck, ND 58504-5941

Phone

(701) 873-4445

NPI assigned

Jan 5, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kurt Waldbillig

Title

Ceo

Phone

(701) 873-4445

Specialties & licenses 1

Addresses

Tax ID family

Glen Ullin Family Medical Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Coal Country Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Hazen, ND
  • NPI 1841658887
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1672876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767830400000",
    "number": "1215640180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 HIGHWAY 49 N",
            "city": "BEULAH",
            "state": "ND",
            "postal_code": "585236038",
            "telephone_number": "701-873-4445",
            "fax_number": "701-639-4709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 S 12TH ST STE 101A",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585045941",
            "telephone_number": "701-873-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COAL COUNTRY COMMUNITY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-05",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A",
        "authorized_official_last_name": "WALDBILLIG",
        "authorized_official_first_name": "KURT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "701-873-4445"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kari Nicole Clements
• Amy Clemons
• Jeremy Dion Clemons
• Kylee Cline, LAC
• Adrien Clough, LMFT
• Kayla Cofer, NURSE PRACTITIONER
• Alexis Colby, MS, OTR/L
• Victoria Cole
• Alex Barry Coleman I, D.C.
• Malynda C Coleman, NCLMTB

• Federally Qualified Health Center (FQHC) in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Federally Qualified Health Center (FQHC) in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.