COAL COUNTRY COMMUNITY HEALTH CENTER (NPI# 1003052952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003052952 |
| Entity Type | Organization |
| Organization Name | COAL COUNTRY COMMUNITY HEALTH CENTER |
| Practice Address |
111 E. Main St. Center ND 58530-0333 |
| Mailing Address |
1312 Highway 49 N Beulah ND 58523-6038 |
| Practice Telephone | 7017948798 |
| Practice Fax Number | 7017948885 |
| Mailing Telephone | 7018737788 |
| Mailing Fax Number | 7018734485 |
| Enumeration Date | 2008-12-24 |
| Last Update Date | 2017-01-26 |
| Authorized Official Name | DARROLD BERTSCH (CEO) |
| Authorized Official Telephone | 7018734445 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | BCBS | 6103001 | 01 |
| ND | 05912 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841658887 | Coal Country Community Health Center | Clinic/Center | 510 8th Ave Nw, Hazen, ND 58545-4638 | 2016-02-05 |
| 1912143868 | Coal Country Community Health Center | Family Medicine | No. 2 3rd Ave. Sw, Towner, ND 58788 | 2008-12-24 |
| 1407235575 | Coal Country Community Health Center | Clinic/Center | 150 Central Ave N, Killdeer, ND 58640-4018 | 2015-05-22 |
| 1942288329 | Coal Country Community Health Center | Clinic/Center | 1312 Highway 49 N, Beulah, ND 58523 | 2006-01-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COAL COUNTRY COMMUNITY HEALTH CENTER | 1312 Hwy 49 N, Beulah, ND 58523-6038 |
| Street Address |
111 E. MAIN ST. |
| City | CENTER |
| State | ND |
| Zip Code | 58530-0333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982793030 | Oliver County Ambulance Association | Ambulance | 111 Main St. E., Center, ND 58530-0397 | 2006-10-12 |
| 1134201221 | Darrell John Trzpuc | Dentist | 111 Main Street East, Center, ND 58530-1215 | 2006-10-19 |
| 1013007566 | Dr. D. J. Trzpuc, Dds | Dentist | 111 East Main St, Center, ND 58530-1215 | 2006-10-13 |
| 1821280025 | Raymond Hall | Specialist/Technologist | 3753 Highway 25, Center, ND 58530-9508 | 2007-08-13 |
| 1891355608 | Jenny L Brown | Physician Assistant | 3750 19th St Sw, Center, ND 58530-9700 | 2019-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124628722 | Robert Richardson | Pharmacist | 765 Hurst St, Center, TX 75935-3415 | 2020-11-01 |
| 1649878638 | Jo Ann Jones | Licensed Vocational Nurse | 904 Nacogdoches St, Center, TX 75935-4328 | 2020-10-13 |
| 1508470881 | San Luis Valley Community Mental Health Center | Clinic/Center | 260 Worth Street, Center, CO 81125 | 2020-09-03 |
| 1013529932 | Jessica Chang | Social Worker | 870 W, Center, UT 84057 | 2020-08-21 |
| 1053937391 | San Luis Valley Community Mental Health Center | Clinic/Center | 260 Worth St, Center, CO 81125 | 2020-06-23 |
| 1285269019 | Vanessa Solis | Registered Nurse | 1847 Us Highway 96 S, Center, TX 75935-6327 | 2020-03-12 |
| 1699325456 | Hayden Alan Knight | Physical Therapist | 854 Hurst St Ste 108, Center, TX 75935-3440 | 2019-09-13 |
| 1285284125 | Hygge Counseling Pllc | Clinic/Center | 114 Nacogdoches St, Center, TX 75935-3852 | 2019-09-12 |
| 1568011559 | Laura Beth Chandler | Counselor | 114 Nacogdoches St Ste D, Center, TX 75935-3852 | 2019-09-11 |
| 1861045726 | Hanna Fountain | Licensed Vocational Nurse | 129 County Road 243, Center, TX 75935-2924 | 2019-07-19 |
| Find all providers in CENTER | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750779542 | Aurora Concepts, Pllc | Family Medicine | 233 Hurst Street, Suite B, Center, TX 75935 | 2014-12-31 |
| 1174757504 | Hannibal Clinic Operations, L.L.C. | Family Medicine | 401 E Highway 19, Center, MO 63436-1044 | 2009-05-13 |
| 1396757613 | Keith E Miller | Family Medicine | 620 Tenaha St, Center, TX 75935-3404 | 2006-08-13 |
| 1285643346 | Mark Alan Tucker | Family Medicine | 401 E Hwy 19, Center, MO 63436 | 2006-08-07 |
| 1356503858 | Craig M Mcmullen Md Pa | Family Medicine | 233 Hurst St, Center, TX 75935-4321 | 2008-06-26 |
| 1134242381 | Keith E. Miller, M.d.,p.a. | Family Medicine | 620 Tenaha St, Center, TX 75935-3404 | 2007-04-10 |
| 1972648434 | Center Rural Health Clinic | Family Medicine | 620 Tenaha St, Center, TX 75935-3404 | 2007-02-21 |
| 1063503449 | Michael H Belgard | Family Medicine | 620 Tenaha St, Center, TX 75935-3404 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679068035 | Rory Ratzlaff | Family Medicine | Sanford Health 737 Broadway N, Fargo, ND 58122-0001 | 2018-06-28 |
| 1710472725 | Shabnum Gupta | Family Medicine | Sanford Health 801 Broadway North, Fargo, ND 58122-0170 | 2018-06-22 |
| 1538661384 | Community Uplift Program | Family Medicine | 417 Main Ave Ste 401, Fargo, ND 58103-1956 | 2018-03-07 |
| 1134578537 | Nicole Samson | Family Medicine | 1001 7th Street Ne - Altru Clinic/devils Lake, Devils Lake, ND 58301-2719 | 2016-06-07 |
| 1508241183 | Edith Wong | Family Medicine | 701 E Rosser Ave., Bismarck, ND 58501-4461 | 2015-07-24 |
| 1417343831 | Ashley Lynn Loughner | Family Medicine | 194 Missle Ave, 5 Mdg, Minot Afb, ND 58705-5024 | 2015-04-13 |
| 1821404260 | Rachel Wanzek | Family Medicine | 300 2nd Ave Ne Ste 212, Jamestown, ND 58401-3377 | 2014-07-07 |
| 1215341417 | Benjamin H Roth | Family Medicine | 860 South Columbia Road, Grand Forks, ND 58201 | 2014-06-16 |
| 1982031746 | Turtle Mountain Family Medicine, LLC | Family Medicine | 115 Main Street Ne, Dunseith, ND 58329 | 2013-10-10 |
| 1861828212 | Viscito Family Medicine, Pllc | Family Medicine | 2750 S 26th St, Suite C, Grand Forks, ND 58201-6432 | 2013-09-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.