TIOGA MEDICAL CENTER-POWERS LAKE RHC – NPI #1740254523
Clinic/Center

TIOGA MEDICAL CENTER-POWERS LAKE RHC is an AHC clinic located in POWERS LAKE, ND. NPPES has assigned the NPI number 1740254523 to TIOGA MEDICAL CENTER-POWERS LAKE RHC on February 16, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “TIOGA MEDICAL CENTER-POWERS LAKE RHC” is a dba name, the actual legal business name for this organization is TIOGA MEDICAL CENTER. The primary taxonomy selected by this provider is 261QR1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Rural Health

The NPI profile was previously updated about 12 years ago on Nov 18, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TIOGA MEDICAL CENTER-POWERS LAKE RHC below.

NPI Profile for
TIOGA MEDICAL CENTER

NPI Number
1740254523
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
TIOGA MEDICAL CENTER
Doing Business As (dba): TIOGA MEDICAL CENTER-POWERS LAKE RHC
Primary location
MAIN STREET
POWERS LAKE, ND 58773
Phone: (701) 464-5668 Fax:
Mailing address
PO BOX 159
TIOGA, ND 58852-0159
Phone: (701) 664-3305 Fax: (701) 664-2240
Organization Subpart
No
Authorized Official
RANDALL PEDERSON
PRESIDENT/CEO
Phone: (701) 664-3305
Updated
Identifiers

Identifiers for TIOGA MEDICAL CENTER-POWERS LAKE RHC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBCBSNDND8557
MEDICAIDND5023
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QR1300X
- Clinic/Center / Rural Health (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.