Amanda Ogdahl, | |
324 Broadway St Ste 206, Alexandria, MN 56308-1482 | |
(320) 762-1762 | |
Not Available |
Full Name | Amanda Ogdahl |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 324 Broadway St Ste 206, Alexandria, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346768496 | NPI | - | NPPES |
CC01552 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | CC01552 (Minnesota) | Primary |
Entity Name | Sanford Health Of Northern Minnesota |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770849697 PECOS PAC ID: 5597725168 Enrollment ID: O20041025000442 |
Entity Name | Sanford Medical Center Fargo |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110701000031 |
Mailing Address | Practice Location Address |
---|---|
Amanda Ogdahl, 450 22nd Ave Nw, Glenwood, MN 56334-4547 Ph: (612) 325-6707 | Amanda Ogdahl, 324 Broadway St Ste 206, Alexandria, MN 56308-1482 Ph: (320) 762-1762 |
Beth Ann Rogers, ADC-T Counselor Medicare: Not Enrolled in Medicare Practice Location: 1700 Broadway St Ste 2, Alexandria, MN 56308 Phone: 320-763-0124 | |
Ms. Jane F Wilka-pauly, LADC, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 720 34th Ave East, Alexandria, MN 56308 Phone: 320-762-2400 | |
Cheryl Ann Lewis, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 222 9th Ave W, Alexandria, MN 56308 Phone: 320-491-8036 | |
Kimberly Wilkins, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 222 9th Ave W, Alexandria, MN 56308 Phone: 320-763-3912 | |
Sheryl Anderson, Counselor Medicare: Medicare Enrolled Practice Location: 512 30th Ave E Ste 100, Alexandria, MN 56308 Phone: 320-762-5411 Fax: 218-287-5928 | |
James Monson, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 222 9th Ave W, Alexandria, MN 56308 Phone: 320-763-3912 Fax: 320-763-6629 | |
Katy Rose Kiger, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 5th Ave W, Alexandria, MN 56308 Phone: 320-759-3096 Fax: 320-759-3097 |