| Organization Name: | TIOGA MEDICAL CENTER |
| NPI Number: | 1043280696 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RANDALL K PEDERSON (PRESIDENT/CEO) |
| Mailing Address: | 810 N Welo St Tioga |
| State: | ND US |
| Postal Code: | 588527157 |
| Phone Number: | 7016643305 |
| Fax Number: | 7016642240 |
| NPI Enumeration Date: | 01/25/2006 |
| NPI Last Update Date: | 04/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | 5048P |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ND |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |