COAL COUNTRY COMMUNITY HEALTH CENTER (NPI# 1841658887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841658887 |
| Entity Type | Organization |
| Organization Name | COAL COUNTRY COMMUNITY HEALTH CENTER |
| Practice Address |
510 8th Ave Nw Hazen ND 58545-4638 |
| Mailing Address |
1312 Highway 49 N Beulah ND 58523-6038 |
| Practice Telephone | 7017482257 |
| Practice Fax Number | 7017492257 |
| Mailing Telephone | 7018734445 |
| Mailing Fax Number | 7018734199 |
| Enumeration Date | 2016-02-05 |
| Last Update Date | 2017-04-21 |
| 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 | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 1468309 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1003052952 | Coal Country Community Health Center | Family Medicine | 111 E. Main St., Center, ND 58530-0333 | 2008-12-24 |
| 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 |
510 8TH AVE NW |
| City | HAZEN |
| State | ND |
| Zip Code | 58545-4638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962746776 | Pfliger Chiropractic Clinic PC | Chiropractor | 706 8th Ave. Ne, Hazen, ND 58545 | 2012-11-16 |
| 1932378007 | Michael Ralph Chase | Pharmacist | 30 Main Rd W, Hazen, ND 58545 | 2008-02-22 |
| 1740402189 | Noell Debra Just | Pharmacist | 30 West Main, Hazen, ND 58545 | 2007-05-03 |
| 1710024807 | Hazen Drug Inc. | Pharmacist | 30 Main Street, Hazen, ND 58545 | 2007-01-30 |
| 1336291822 | Alicia Wolstenholm | Speech-Language Pathologist | 238 1st Ave Ne, Hazen, ND 58545 | 2007-01-17 |
| 1174697759 | Oliver Mercer Special Education Unit | Local Education Agency (LEA) | 507 1st Ave Ne, Hazen, ND 58545 | 2006-11-17 |
| 1568628303 | Darlene Sandra White | Counselor | 510 8th Ave Ne, Hazen, ND 58545 | 2008-07-31 |
| 1538320932 | Sharold Edwin Oster | Counselor | 510 8th Ave Ne, 5 Sakakawea Medical Center, Hazen, ND 58545 | 2008-06-19 |
| 1225176613 | Jesse J Krieger | Speech-Language Pathologist | 507 1st Ave Ne, Hazen, ND 58545 | 2007-02-01 |
| 1699812602 | Amber Kaylor | Speech-Language Pathologist | 500 Central Ave, Hazen, ND 58545 | 2007-01-31 |
| Find all providers in zip 58545 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396706099 | Arcare | Clinic/Center | 705 Hwy 63, Hazen, AR 72064-8054 | 2006-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649761693 | Northland Health Partners Community Health Center | Clinic/Center | 612 4th St East, Williston, ND 58802 | 2018-05-25 |
| 1841701877 | Family Health Care Center | Clinic/Center | 4025 9th Ave S, Fargo, ND 58103-2101 | 2017-10-17 |
| 1114478823 | Community Health Service Inc. | Clinic/Center | 1113 W 11th St, Grafton, ND 58237-2139 | 2016-10-18 |
| 1962863324 | Family Health Care Center | Clinic/Center | 726 13th Ave E, West Fargo, ND 58078-3304 | 2016-03-14 |
| 1679958755 | Northland Health Partners Community Health Center | Clinic/Center | 24 Railroad Ave Ste 16, Ray, ND 58849 | 2015-07-30 |
| 1629481841 | Northland Health Partners Community Health Center | Clinic/Center | 15 2nd Ave Sw Ste 110, Minot, ND 58701 | 2014-06-05 |
| 1174866271 | Northland Health Partners Community Health Center | Clinic/Center | 18 Main St Sw Ste B, Bowbells, ND 58721 | 2013-03-27 |
| 1689878324 | Spectra Health | Clinic/Center | 212 S 4th St, Suite 101, Grand Forks, ND 58201-4777 | 2007-06-14 |
| 1609945781 | Family Health Care Center | Clinic/Center | 301 Np Ave, Fargo, ND 58102 | 2006-11-06 |
| 1689758039 | Northland Health Partners Community Health Center | Clinic/Center | 401 2nd Ave, Rolette, ND 58366 | 2006-10-24 |
| 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.