TIOGA MEDICAL CENTER-POWERS LAKE RHC
NPI 1740254523
Clinic/Center - Rural Health in Powers Lake, ND

Active since February 16, 2006
MAIN STREET, POWERS LAKE, ND 58773(701) 464-5668 Get Directions Write a Review

NPPES record last updated: November 18, 2014. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Tioga Medical Center-powers Lake Rhc NPPES

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

TIOGA MEDICAL CENTER-POWERS LAKE RHC (NPI 1740254523) is a healthcare organization registered as a rural health in Powers Lake, North Dakota and active in the NPI registry since February 2006. The organization lists Randall K. Pederson, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1740254523
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameTIOGA MEDICAL CENTER
Location AddressMAIN STREETPowers Lake, ND 58773
Mailing AddressPo Box 159Tioga, ND 58852-0159 · (701) 664-3305 · Fax (701) 664-2240
Organization SubpartNo
Authorized OfficialRandall K. PedersonPresident/ceo · (701) 664-3305
Enumeration DateFebruary 16, 2006
Last NPPES UpdateNovember 18, 2014
NPI 1740254523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
MAIN STREET, Powers Lake, ND 58773

Other Names 1

Doing Business AsTioga Medical Center-powers Lake Rhc

Other Identifiers 3

Medicare ID-Type Unspecified35-3987ND · Nd Medicare
Other8557ND · Bcbsnd
Medicaid5023ND

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 Waiver 35D0409261

Tioga Medical Center Powers Lake Clinic · Powers Lake, ND
Expired · Aug 31, 2026
CLIA Number35D0409261
Laboratory TypeCommunity Clinic
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorRosmel D. Ganacias
Laboratory Phone(701) 464-5668
Laboratory LocationTioga Medical Center Powers Lake ClinicMain St, Powers Lake, ND 58773
CLIA data matches this NPI record on: Address Name 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 Tioga Medical Center's NPI number?

The NPI number for Tioga Medical Center is 1740254523. It was assigned to this organization in the NPPES registry on February 16, 2006. The provider is doing business as Tioga Medical Center-Powers Lake Rhc.

Where is Tioga Medical Center located?

Tioga Medical Center is located at Main Street, Powers Lake, ND 58773. The listed phone number is (701) 464-5668.

What is Tioga Medical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

What insurance does Tioga Medical Center accept?

Health plans from Medica list Tioga Medical 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 Tioga Medical Center was last updated on November 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.