Cooperstown Medical Center
NPI #1962548214 in Cooperstown, North Dakota
Provider Information
- NPI Number
- 1962548214
- Entity Type
- Organization
- Organization Name
- Cooperstown Medical Center
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- COOPERSTOWN MEDICAL CENTER
- Primary Specialty
- Clinic/Center - Rural Health
- Enumeration Date
- Jan 30, 2007
- Last Updated
- Sep 8, 2023
Practice Location
- Address
- 107 12TH ST S
- City
- Cooperstown
- State
- North Dakota
- ZIP Code
- 58425-4501
- Phone
- (701) 786-1709
Authorized Official
- Name
- KELLEY SHAWN
- Title
- ADMIN ASSIST/CREDENTIALING
- Phone
- (701) 786-1709
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rural Health — Rural Health |
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