Glen Ullin Rhc is a
Nurse Practitioner - Family based in Glen Ullin, North Dakota. Glen Ullin Rhc is licensed to practice in North Dakota (license number R17917) and their current practice location is
117 S Main St, Glen Ullin, North Dakota. It can be reached at their office (for appointments etc.) via phone at
(701) 348-3921.
NPI number for Glen Ullin Rhc is 1053338525 and their current mailing address is 117 S Main St, Glen Ullin, North Dakota. Glen Ullin Rhc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1053338525.
Healthcare Provider's Profile
Full Name | Glen Ullin Rhc |
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Type | Facility |
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Speciality | Nurse Practitioner - Family |
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Location | 117 S Main St, Glen Ullin, North Dakota |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1053338525
- Provider Enumeration Date: 07/17/2006
- Last Update Date: 08/22/2020
Medical Identifiers
Medical identifiers for Glen Ullin Rhc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053338525 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | U47145 (North Dakota) | Primary |
207Q00000X | Family Medicine | 4097 (North Dakota) | Primary |
207Q00000X | Family Medicine | 3068 (North Dakota) | Primary |
363LF0000X | Nurse Practitioner - Family | R17917 (North Dakota) | Primary |
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 Rhc 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 Rhc 117 S Main St, Glen Ullin, ND 58631-7101 Ph: (701) 348-3921 | Glen Ullin Rhc 117 S Main St, Glen Ullin, ND 58631-7101 Ph: (701) 348-3921 |
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