| NPI | 1083625354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH MARIE LONE BEAR Director 701-627-4840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2026-01-16 |