| Three Affiliated Tribes White Shield Health Care Center | |
|
2 Main Street B Roseglen ND 58775-0000 | |
| (701) 743-4504 | |
| Not Available |
| Full Name | Three Affiliated Tribes White Shield Health Care Center |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 2 Main Street B, Roseglen, North Dakota |
| Authorized Official Name and Position | Marcus D Wells (CHAIRMAN) |
| Authorized Official Contact | 7016274781 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Three Affiliated Tribes White Shield Health Care Center 2 Main Street B Roseglen ND 58775-0000 Ph: (701) 743-4504 | Three Affiliated Tribes White Shield Health Care Center 2 Main Street B Roseglen ND 58775-0000 Ph: (701) 743-4504 |
| NPI Number | 1558548909 |
|---|---|
| Provider Enumeration Date | 01/29/2008 |
| Last Update Date | 05/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558548909 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |