| Coal Country Community Health Center | |
|
914 S 12th St Ste 101a Bismarck ND 58504-5941 | |
| (701) 873-4445 | |
| Not Available |
| Full Name | Coal Country Community Health Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 914 S 12th St Ste 101a, Bismarck, North Dakota |
| Authorized Official Name and Position | Brian Williams (CEO) |
| Authorized Official Contact | 7018734445 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coal Country Community Health Center 1312 Highway 49 N Beulah ND 58523-6038 Ph: (701) 873-4445 | Coal Country Community Health Center 914 S 12th St Ste 101a Bismarck ND 58504-5941 Ph: (701) 873-4445 |
| NPI Number | 1215640180 |
|---|---|
| Provider Enumeration Date | 01/05/2023 |
| Last Update Date | 01/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215640180 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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