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MANDAREE COMMUNITY CLINIC
NPI 1194106997
Clinic/Center - Community Health in Mandaree, ND

Active since June 17, 2015
404 RIDGE ROAD, MANDAREE, ND 58757(701) 421-1357 Get Directions Write a Review

NPPES record last updated: February 15, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 15, 2016, Feb 10, 2016 (2 updates tracked since 2016).

About Mandaree Community Clinic NPPES

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

MANDAREE COMMUNITY CLINIC (NPI 1194106997) is a healthcare organization registered as a community health in Mandaree, North Dakota and active in the NPI registry since June 2015. The organization lists Kurt Benji Kitagawa, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1194106997
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameMANDAREE COMMUNITY CLINIC
Location Address404 RIDGE ROADMandaree, ND 58757
Mailing Address1118 East C StreetNorth Platte, NE 69101 · (308) 660-9321
Phone(701) 421-1357
Organization SubpartNo
Authorized OfficialKurt Benji KitagawaMedical Director · (308) 660-9321
Enumeration DateJune 17, 2015
Last NPPES UpdateFebruary 15, 20162 updates tracked since enumeration
✔ NPI 1194106997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
License✔ Licensed in ND · 38,708,300
404 RIDGE ROAD, Mandaree, ND 58757
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota.Insurance ›

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 Mandaree Community Clinic's NPI number?

The NPI number for Mandaree Community Clinic is 1194106997. It was assigned to this organization in the NPPES registry on June 17, 2015.

Where is Mandaree Community Clinic located?

Mandaree Community Clinic is located at 404 Ridge Road, Mandaree, ND 58757. The listed phone number is (701) 421-1357.

What is Mandaree Community Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

What insurance does Mandaree Community Clinic accept?

Health plans from Blue Cross Blue Shield of North Dakota list Mandaree Community Clinic 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 Mandaree Community Clinic was last updated on February 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.