| NPI | 1669684825 |
|---|---|
| Other Name | TISA NORTHERN PLAINS HEALTHY START SITE 13 |
| Entity Type | Organization |
| Authorized Contact | DARLAS ROGERS Tisa Nphs Coordinator 701-774-8824 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Additional Taxonomies | 347C00000X Private Vehicle |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2008-06-26 |