| Organization Name: | THREE AFFILIATED TRIBES DIALYSIS UNIT |
| NPI Number: | 1487728630 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STELLA BERQUIST (ADMINISTRATOR) |
| Mailing Address: | 9281 Highway 23 New Town |
| State: | ND US |
| Postal Code: | 587639407 |
| Phone Number: | 7016274840 |
| Fax Number: | |
| NPI Enumeration Date: | 11/20/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QE0700X |
| License Number: | 1083625354 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ND |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | End-Stage Renal Disease (ESRD) Treatment |
| Taxonomy Definition: | |