Coal Country Community Health Center

LBN: Coal Country Community Health Center
Coal Country Community Health Center is an health care organization with primary practice located at 510 8Th Ave Nw , Hazen ND 58545-4638. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Coal Country Community Health Center can be contacted via phone (701) 748-2257, or through Bertsch, Darrold via phone (701) 873-4445.

Contact Information

Primary practice address
510 8Th Ave Nw Hazen ND 58545-4638
Phone: (701) 748-2257
Fax: (701) 749-2257
Website:
Map and Directions
Authorized official contact:
Name: Bertsch, Darrold
Phone: (701) 873-4445

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1841658887
LBN Legal business name Coal Country Community Health Center
DBA Doing business as
Authorized official Bertsch, Darrold
Entity Organization
Organization subpart 1 No
Enumeration date Feb 5th, 2016
Last updated Apr 21st, 2017 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1841658887 NPPES
North Dakota MEDICAID 1468309

Popular Providers