Provider Demographics
NPI:1992839526
Name:WISHEK HOSPITAL-CLINIC ASSOCIATION
Entity Type:Organization
Organization Name:WISHEK HOSPITAL-CLINIC ASSOCIATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BEVERLY
Authorized Official - Middle Name:M
Authorized Official - Last Name:VILHAUER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-452-2326
Mailing Address - Street 1:PO BOX 647
Mailing Address - Street 2:1007 4TH AVE S
Mailing Address - City:WISHEK
Mailing Address - State:ND
Mailing Address - Zip Code:58495-0647
Mailing Address - Country:US
Mailing Address - Phone:701-452-2326
Mailing Address - Fax:701-452-2179
Practice Address - Street 1:1007 4TH AVE S
Practice Address - Street 2:
Practice Address - City:WISHEK
Practice Address - State:ND
Practice Address - Zip Code:58495-0647
Practice Address - Country:US
Practice Address - Phone:701-452-2326
Practice Address - Fax:701-452-2179
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-15
Last Update Date:2022-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
275N00000X
ND5053A282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes275N00000XHospital UnitsMedicare Defined Swing Bed Unit
No282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND003731OtherBCBS SWING BED
ND001930Medicaid
ND35Z321Medicare Oscar/Certification