| Tioga Medical Center-wildrose Rhc | |
|
Main Street Wildrose ND 58795 | |
| (701) 539-2051 | |
| Not Available |
| Full Name | Tioga Medical Center-wildrose Rhc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | Main Street, Wildrose, North Dakota |
| Authorized Official Name and Position | Randall K. Pederson (PRESIDENT/CEO) |
| Authorized Official Contact | 7016643305 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tioga Medical Center-wildrose Rhc Po Box 159 Tioga ND 58852-0159 Ph: (701) 664-3305 | Tioga Medical Center-wildrose Rhc Main Street Wildrose ND 58795 Ph: (701) 539-2051 |
| NPI Number | 1255305033 |
|---|---|
| Provider Enumeration Date | 02/16/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255305033 | NPI | - | NPPES |
| 2634 | Other | ND | BCBSND |
| 5046 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |