Kidder County Primary Healthcare Corporation
Organization Active NPI Rural Health Clinic/Center · Steele, ND
NPI 1487731030 · NPPES record last updated Dec 8, 2014
Key facts
- NPI
- 1487731030
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- KIDDER COUNTY PRIMARY HEALTHCARE CORPORATION
- Practice address
- 110 W Broadway
Steele, ND 58482 - Phone
- (701) 475-2910
- Fax
- (701) 475-2815
- NPI assigned
- Nov 1, 2006
- Organization subpart
- No
Authorized official
- Name
- Jennifer Liebert
- Title
- Clinic Manager
- Phone
- (701) 475-2910
Practitioners 2
-
Erin Lynn Dewitz, DNP
-
Gloria D Wolf, FNP
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 6975 | ND | |
| Rural Health Clinic/Center | 261QR1300X | Yes |
Addresses
Primary practice location
110 W Broadway
Steele, ND 58482
Mailing address
PO Box 54
Steele, ND 58482-0054
Phone (701) 475-2910
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14152 | Medicaid | ND | |
| 06935001 | Other | ND | BCBS |
| 5189 | Medicaid | ND | |
| DF9827 | Other | RR MEDICARE |
Other names
- Kidder County Community Health Center
Other providers in Steele, ND
- Four Seasons Wellness, PLLC
- Golden Manor Inc
- Kidder County Ambulance Service Inc
- Kidder County Chiropractic
- Kidder County District Health Unit
- Kidder County Social Service Board
- Jamie Nelson
- Mandy Kaye Rath
- Dannielle Lee Ruff
- Steele Pharmacy LLC
All providers in Steele, ND · Rural Health Clinic/Center in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.