Provider Demographics
NPI:1659379436
Name:WESTERN PLAINS PUBLIC HEALTH
Entity Type:Organization
Organization Name:WESTERN PLAINS PUBLIC HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:
Authorized Official - Last Name:OURADA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-667-3370
Mailing Address - Street 1:403 BURLINGTON ST SE
Mailing Address - Street 2:
Mailing Address - City:MANDAN
Mailing Address - State:ND
Mailing Address - Zip Code:58554-4271
Mailing Address - Country:US
Mailing Address - Phone:701-667-3370
Mailing Address - Fax:701-667-3371
Practice Address - Street 1:403 BURLINGTON ST SE
Practice Address - Street 2:
Practice Address - City:MANDAN
Practice Address - State:ND
Practice Address - Zip Code:58554-4271
Practice Address - Country:US
Practice Address - Phone:701-667-3370
Practice Address - Fax:701-667-3371
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-14
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND600000303OtherRAILROAD MEDICARE PART B
ND057988Medicaid