COAL COUNTRY COMMUNITY HEALTH CENTER
NPI 1003052952
Clinic/Center - Federally Qualified Health Center (FQHC) in Center, ND

Active since December 24, 2008CLIA Certified · 3 labs
111 MAIN ST, CENTER, ND 58530(701) 794-8798(701) 639-4707 Get Directions Write a Review

NPPES record last updated: January 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 8, 2026, Dec 22, 2025, Apr 13, 2023 and 4 more (7 updates tracked since 2016).

About Coal Country Community Health Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COAL COUNTRY COMMUNITY HEALTH CENTER (NPI 1003052952) is a healthcare organization registered as a federally qualified health center (fqhc) in Center, North Dakota and active in the NPI registry since December 2008. The organization holds 3 active CLIA laboratory certificates and lists Kurt Waldbillig, Ceo, as its authorized official.

NPPES Registry Identity

NPI1003052952
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCOAL COUNTRY COMMUNITY HEALTH CENTER
Location Address111 MAIN STCenter, ND 58530-4712
Mailing Address1312 Highway 49 NBeulah, ND 58523-6038 · (701) 873-7788 · Fax (701) 639-4709
Fax(701) 639-4707
Organization SubpartNo
Authorized OfficialKurt WaldbilligCeo · (701) 873-4445
Enumeration DateDecember 24, 2008
Last NPPES UpdateJanuary 8, 20267 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2026
✔ NPI 1003052952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
111 MAIN ST, Center, ND 58530

Other Identifiers 2

Medicaid05912ND
Other6103001ND · Bcbs

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Coal Country Community Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

15

Medicare enrollment records show 15 clinicians reassign Medicare billing to Coal Country Community Health Center, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians by Medicare Specialty 4

Family Practice7
Nurse Practitioner5
Mental Health Counselor2
Psychiatry1

Clinicians, nearest first (15)

Family Practice
NPI 1093249195
510 8TH AVE NE
Hazen, ND 58545
(701) 748-2256
✔ PECOS✔ Accepts Medicare19 mi
Family Practice
NPI 1770072837
510 8TH AVE NE
Hazen, ND 58545
(701) 873-4445
✔ PECOS✔ Accepts Medicare19 mi
Family Practice
NPI 1417149279
510 8TH AVE NE
Hazen, ND 58545
(701) 748-2256
✔ PECOS✔ Accepts Medicare19 mi
Mental Health Counselor
NPI 1679292270
1312 HIGHWAY 49 N
Beulah, ND 58523
(701) 873-4445
✔ PECOS25 mi
Nurse Practitioner
NPI 1932140050
1312 HIGHWAY 49 N
Beulah, ND 58523
(701) 873-4445
✔ PECOS✔ Accepts Medicare25 mi
Family Practice
NPI 1457339939
1312 HIGHWAY 49 N
Beulah, ND 58523
(701) 873-4445
✔ PECOS✔ Accepts Medicare25 mi
Family Practice
NPI 1205814787
1312 HWY 49 NW
Beulah, ND 58523
(701) 873-4445
✔ PECOS✔ Accepts Medicare25 mi
Nurse Practitioner
NPI 1316564115
1312 HIGHWAY 49 N
Beulah, ND 58523
(701) 873-4445
✔ PECOS✔ Accepts Medicare25 mi
Family Practice
NPI 1942648878
1312 HIGHWAY 49 N
Beulah, ND 58523
(701) 873-4445
✔ PECOS✔ Accepts Medicare25 mi
Nurse Practitioner
NPI 1447548623
1312 HIGHWAY 49 N
Beulah, ND 58523
(701) 873-4445
✔ PECOS✔ Accepts Medicare25 mi
Nurse Practitioner
NPI 1114405230
1312 HIGHWAY 49 N
Beulah, ND 58523
(701) 873-4445
✔ PECOS✔ Accepts Medicare25 mi
Family Practice
NPI 1528046000
1312 HWY 49 NW
Beulah, ND 58523
(701) 873-4445
✔ PECOS25 mi
Psychiatry
NPI 1972544708
1237 W DIVIDE AVE STE 5
Bismarck, ND 58501
(701) 328-8888
✔ PECOS✔ Accepts Medicare30 mi
Nurse Practitioner
NPI 1205283090
150 CENTRAL AVE S
Killdeer, ND 58640
(701) 764-5822
✔ PECOS✔ Accepts Medicare64 mi
Mental Health Counselor
NPI 1740556414
151 S 4TH ST SUITE 401
Grand Forks, ND 58201
(701) 795-3150
✔ PECOS✔ Accepts Medicare208 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 35D0926532

Coal Country Community Health Center · Beulah, ND
Active · expires Oct 17, 2027
CLIA Number35D0926532
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateOctober 18, 2025
Certificate Expiration DateOctober 17, 2027
Laboratory DirectorRon Piatz
Laboratory Phone(701) 873-4445
Laboratory LocationCoal Country Community Health Center1312 Hwy 49 N, Beulah, ND 58523
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 35D2246304

Coal Country Community Health Ctr, Beulah Schoo · Beulah, ND
Active · expires Dec 21, 2027
CLIA Number35D2246304
Laboratory TypeSchool/Student Health Service
Certificate Effective DateDecember 22, 2025
Certificate Expiration DateDecember 21, 2027
Laboratory DirectorBrandy L. Bubel
Laboratory Phone(701) 873-4445
Laboratory LocationCoal Country Community Health Ctr, Beulah Schoo204 5th St NW, Beulah, ND 58523
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 35D0408958

Coal Country Com Health Ctr - Center · Center, ND
Active · expires Dec 18, 2027
CLIA Number35D0408958
Laboratory TypeCommunity Clinic
Certificate Effective DateDecember 19, 2025
Certificate Expiration DateDecember 18, 2027
Laboratory DirectorAaron Dr Garman
Laboratory Phone(701) 794-8798
Laboratory LocationCoal Country Com Health Ctr - Center111 E Main St, Center, ND 58530
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Coal Country Community Health Center's NPI number?

The NPI number for Coal Country Community Health Center is 1003052952. It was assigned to this organization in the NPPES registry on December 24, 2008.

Where is Coal Country Community Health Center located?

Coal Country Community Health Center is located at 111 Main St, Center, ND 58530. The listed phone number is (701) 794-8798.

What is Coal Country Community Health Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Coal Country Community Health Center enrolled in Medicare?

Yes. Coal Country Community Health Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Coal Country Community Health Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians in 4 Medicare specialties reassign their Medicare billing to Coal Country Community Health Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (7), Nurse Practitioner (5) and Mental Health Counselor (2). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Coal Country Community Health Center hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Coal Country Community Health Center accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Coal Country Community Health Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Coal Country Community Health Center was last updated on January 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.