COAL COUNTRY COMMUNITY HEALTH CENTER (NPI# 1942288329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942288329 |
| Entity Type | Organization |
| Organization Name | COAL COUNTRY COMMUNITY HEALTH CENTER |
| Practice Address |
1312 Highway 49 N Beulah ND 58523 |
| Mailing Address |
1312 Highway 49 N Beulah ND 58523-6038 |
| Practice Telephone | 7018734445 |
| Practice Fax Number | 7018734199 |
| Mailing Telephone | 7018734445 |
| Mailing Fax Number | 7018734199 |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2018-06-15 |
| Authorized Official Name | DARROLD BERTSCH (CEO) |
| Authorized Official Telephone | 7018734445 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 05909 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841658887 | Coal Country Community Health Center | Clinic/Center | 510 8th Ave Nw, Hazen, ND 58545-4638 | 2016-02-05 |
| 1912143868 | Coal Country Community Health Center | Family Medicine | No. 2 3rd Ave. Sw, Towner, ND 58788 | 2008-12-24 |
| 1407235575 | Coal Country Community Health Center | Clinic/Center | 150 Central Ave N, Killdeer, ND 58640-4018 | 2015-05-22 |
| 1003052952 | Coal Country Community Health Center | Family Medicine | 111 E. Main St., Center, ND 58530-0333 | 2008-12-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COAL COUNTRY COMMUNITY HEALTH CENTER | 1312 Hwy 49 N, Beulah, ND 58523-6038 |
| Street Address |
1312 HIGHWAY 49 N |
| City | BEULAH |
| State | ND |
| Zip Code | 58523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184602666 | Orlan Jackson | Family Medicine | 1312 Highway 49 N, Beulah, ND 58523-6038 | 2006-01-05 |
| 1316564115 | Abbey Pelton | Nurse Practitioner | 1312 Highway 49 N, Beulah, ND 58523-6038 | 2020-06-29 |
| 1114548096 | Estee Michelle Schmidt | Counselor | 1312 Highway 49 N, Beulah, ND 58523-6038 | 2020-05-01 |
| 1740748763 | Tyler James Mckay | Counselor | 1312 Highway 49 N, Beulah, ND 58523-6038 | 2019-03-08 |
| 1659847572 | Rhonda Pfenning | Registered Nurse | 1312 Highway 49 N, Beulah, ND 58523-6038 | 2018-10-18 |
| 1114405230 | Kelsey Leigh Striefel | Nurse Practitioner | 1312 Highway 49 N, Beulah, ND 58523-6038 | 2018-07-31 |
| 1396221149 | Kayla Marie Ternes | Physician Assistant | 1312 Highway 49 N, Beulah, ND 58523-6038 | 2018-07-16 |
| 1295265338 | Sheena Berger | Counselor | 1312 Highway 49 N, Beulah, ND 58523-6038 | 2017-06-12 |
| 1619327889 | Joshua Gibbel | Nurse Practitioner | 1312 Highway 49 N, Beulah, ND 58523-6038 | 2016-06-17 |
| 1003271008 | Dana Maas | Counselor | 1312 Highway 49 N, Beulah, ND 58523-6038 | 2015-12-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477082097 | Britta Julson | Physician Assistant | 1312 Hwy 49 N Frontage Rd, Beulah, ND 58523 | 2017-06-07 |
| 1467894220 | Stacy Lynn Johnson | Nurse Practitioner | 420 Cty Rd. 26, Beulah, ND 58523 | 2013-07-22 |
| 1245248418 | Michael J Hammerschmidt | Optometrist | 204 West Main Street, Beulah, ND 58523 | 2006-08-04 |
| 1457339939 | Aaron Garman | Family Medicine | 1312 Hwy 49 Nw, Beulah, ND 58523 | 2006-01-05 |
| 1275090771 | S.t.o.n.e Clinic PC | Physical Therapist | 108 W Main St, Suite B, Beulah, ND 58523 | 2019-02-21 |
| 1760882856 | Devan Reinhardt | Occupational Therapist | 108 W Main St, Ste B, Beulah, ND 58523 | 2014-08-26 |
| 1225350911 | Cindi D Reinhardt | Physical Therapist | 108 W. Main St, Ste B, Beulah, ND 58523 | 2010-02-22 |
| 1023250610 | Nicole Marie Gabriel | Chiropractor | 101 W Main, Beulah, ND 58523 | 2009-03-30 |
| 1700049830 | Alison Leigh Just | Dentist | 200 West Main Street, Beulah, ND 58523 | 2008-07-09 |
| 1013127687 | Kevin B Lee | Dentist | 200 West Main Street, Beulah, ND 58523 | 2007-05-23 |
| Find all providers in zip 58523 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649761693 | Northland Health Partners Community Health Center | Clinic/Center | 612 4th St East, Williston, ND 58802 | 2018-05-25 |
| 1841701877 | Family Health Care Center | Clinic/Center | 4025 9th Ave S, Fargo, ND 58103-2101 | 2017-10-17 |
| 1114478823 | Community Health Service Inc. | Clinic/Center | 1113 W 11th St, Grafton, ND 58237-2139 | 2016-10-18 |
| 1962863324 | Family Health Care Center | Clinic/Center | 726 13th Ave E, West Fargo, ND 58078-3304 | 2016-03-14 |
| 1841658887 | Coal Country Community Health Center | Clinic/Center | 510 8th Ave Nw, Hazen, ND 58545-4638 | 2016-02-05 |
| 1679958755 | Northland Health Partners Community Health Center | Clinic/Center | 24 Railroad Ave Ste 16, Ray, ND 58849 | 2015-07-30 |
| 1629481841 | Northland Health Partners Community Health Center | Clinic/Center | 15 2nd Ave Sw Ste 110, Minot, ND 58701 | 2014-06-05 |
| 1174866271 | Northland Health Partners Community Health Center | Clinic/Center | 18 Main St Sw Ste B, Bowbells, ND 58721 | 2013-03-27 |
| 1689878324 | Spectra Health | Clinic/Center | 212 S 4th St, Suite 101, Grand Forks, ND 58201-4777 | 2007-06-14 |
| 1609945781 | Family Health Care Center | Clinic/Center | 301 Np Ave, Fargo, ND 58102 | 2006-11-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.