Organization · Type 2 NPI
Mandaree Community Clinic
Community Health Clinic/Center · Mandaree, ND
NPI number
1194106997
Active
Practice location
404 Ridge Road
Mandaree, ND 58757
Mailing address
1118 East C Street
North Platte, NE 69101
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Clinic/Center Primary | 261QC1500X | 38,708,300 (ND) |
Community Health Clinic/Center: Definition to come...
About NPI 1194106997
Mandaree Community Clinic's National Provider Identifier is 1194106997, issued on Jun 17, 2015. The primary taxonomy on file is Community Health Clinic/Center (261QC1500X), and the practice location is in Mandaree, ND. The record was last updated on Feb 15, 2016.