Provider Demographics
NPI:1205931516
Name:WELLS COUNTY DISTRICT HEALTH UNIT
Entity type:Organization
Organization Name:WELLS COUNTY DISTRICT HEALTH UNIT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:KLEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-547-3756
Mailing Address - Street 1:PO BOX 183
Mailing Address - Street 2:
Mailing Address - City:HARVEY
Mailing Address - State:ND
Mailing Address - Zip Code:58341-0183
Mailing Address - Country:US
Mailing Address - Phone:701-324-5259
Mailing Address - Fax:701-324-2277
Practice Address - Street 1:1008 ADAMS AVE
Practice Address - Street 2:
Practice Address - City:HARVEY
Practice Address - State:ND
Practice Address - Zip Code:58341-1628
Practice Address - Country:US
Practice Address - Phone:701-324-5259
Practice Address - Fax:701-324-5259
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-13
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND4406251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND600001482OtherRAILROAD MEDICARE
ND1461402Medicaid