Organization · Type 2 NPI

Cooperstown Medical Center

Rural Health Clinic/Center · Cooperstown, ND

NPI number 1962548214 Active

Practice location

107 12th St S
Cooperstown, ND 58425-4501

Fax (701) 786-7121

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

7 other providers at this address

Cooperstown Medical CenterDurable Medical Equipment & Medical Supplies Cooperstown, ND NPI 1134304231
Cooperstown Medical CenterCritical Access Hospital Cooperstown, ND NPI 1235239229
Cooperstown Medical CenterMedicare Defined Swing Bed Hospital Unit Cooperstown, ND NPI 1376635151
Cortney Beattie, PT, DPTPhysical Therapist Cooperstown, ND NPI 1710769195
Kali Susan Manz, CNPGerontology Nurse Practitioner Cooperstown, ND NPI 1912677097
Kristine Louise Martin, APRN-CNPFamily Nurse Practitioner Cooperstown, ND NPI 1164245445
William G. McKinnon, MDFamily Medicine Physician Cooperstown, ND NPI 1881786218

NPI record

NPI: 1962548214
Entity type: Organization (Type 2)
Issued: Jan 30, 2007
Last updated: Sep 8, 2023
Status: Active
Subpart: Yes of Cooperstown Medical Center

Other names

<unavail>
CMC Rural Health Clinic · doing business as
DRMC Rural Health Clinic · doing business as
Dakota Regional Medical Center · doing business as

Authorized official

Kelley Shawn
Admin Assist/credentialing
(701) 786-1709

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1962548214

Cooperstown Medical Center's National Provider Identifier is 1962548214, issued on Jan 30, 2007. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Cooperstown, ND. The record was last updated on Sep 8, 2023.