Glen Ullin Clinic Elgin Clinic is a
General Practice based in Elgin, North Dakota. Glen Ullin Clinic Elgin Clinic is licensed to practice in North Dakota (license number 3068) and their current practice location is
302 N Main St, Elgin, North Dakota. It can be reached at their office (for appointments etc.) via phone at
(701) 584-3010.
NPI number for Glen Ullin Clinic Elgin Clinic is 1558305839 and their current mailing address is 302 N Main St, Elgin, North Dakota. Glen Ullin Clinic Elgin Clinic
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1558305839.
Healthcare Provider's Profile
| Full Name | Glen Ullin Clinic Elgin Clinic |
|---|
| Type | Facility |
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| Speciality | General Practice |
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| Location | 302 N Main St, Elgin, North Dakota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1558305839
- Provider Enumeration Date: 06/16/2006
- Last Update Date: 04/16/2008
Medical Identifiers
Medical identifiers for Glen Ullin Clinic Elgin Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558305839 | NPI | - | NPPES |
| 005006 | Medicaid | ND | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 561 (North Dakota) | Secondary |
| 208D00000X | General Practice | 3068 (North Dakota) | Primary |
| 363A00000X | Physician Assistant | PAC0361 (North Dakota) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | R17917 (North Dakota) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Glen Ullin Clinic Elgin Clinic is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Glen Ullin Clinic Elgin Clinic
302 N Main St,
Elgin, ND 58533-7108
Ph: (701) 584-3010 | Glen Ullin Clinic Elgin Clinic
302 N Main St,
Elgin, ND 58533-7108
Ph: (701) 584-3010 |
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