COAL COUNTRY COMMUNITY HEALTH CENTER
NPI 1407235575
Clinic/Center - Federally Qualified Health Center (FQHC) in Killdeer, ND

Active since May 22, 2015CLIA 35D2100388 · Certificate of Compliance
220 4TH AVE SW, KILLDEER, ND 58640(701) 764-5822(701) 639-4731 Get Directions Write a Review

NPPES record last updated: January 8, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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 1407235575) is a healthcare organization registered as a federally qualified health center (fqhc) in Killdeer, North Dakota and active in the NPI registry since May 2015. The organization holds a CLIA Certificate of Compliance certificate valid through January 18, 2028 and lists Kurt Waldbillig, Ceo, as its authorized official.

NPPES Registry Identity

NPI1407235575
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCOAL COUNTRY COMMUNITY HEALTH CENTER
Location Address220 4TH AVE SWKilldeer, ND 58640-8500
Mailing Address1312 Highway 49 NBeulah, ND 58523-6038 · (701) 764-5822 · Fax (701) 639-4731
Fax(701) 639-4731
Organization SubpartNo
Authorized OfficialKurt WaldbilligCeo · (701) 873-4445
Enumeration DateMay 22, 2015
Last NPPES UpdateJanuary 8, 2026
NPPES CertifiedJanuary 8, 2026
NPI 1407235575 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
220 4TH AVE SW, Killdeer, ND 58640

Other Identifiers 1

Medicaid1464996ND

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

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 35D2100388

Coal Country Community Health Center · Killdeer, ND
Active · expires Jan 18, 2028
CLIA Number35D2100388
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJanuary 19, 2026
Certificate Expiration DateJanuary 18, 2028
Laboratory DirectorRonald J. Piatz
Laboratory Phone(701) 764-5822
Laboratory LocationCoal Country Community Health Center220 4th Ave SW Suite C, Killdeer, ND 58640
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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
220 4TH AVE SW
KILLDEER, ND 58640
Pharmacist
220 4TH AVE SW
KILLDEER, ND 58640

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 1407235575. It was assigned to this organization in the NPPES registry on May 22, 2015.

Where is Coal Country Community Health Center located?

Coal Country Community Health Center is located at 220 4th Ave SW, Killdeer, ND 58640. The listed phone number is (701) 764-5822.

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.

Does Coal Country Community Health Center hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 35D2100388) is associated with this NPI, valid through January 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Coal Country Community Health Center accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica 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 with the weekly NPPES data releases published by CMS.