| Affinitas Psychiatric Care | |
|
3220 4th St E Ste 102 West Fargo ND 58078 | |
| (701) 639-6532 | |
| (701) 203-0137 |
| Full Name | Affinitas Psychiatric Care |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3220 4th St E Ste 102, West Fargo, North Dakota |
| Authorized Official Name and Position | Becky Elbert (ADULT PSYCH MENTAL HEALTH) |
| Authorized Official Contact | 7014048969 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Affinitas Psychiatric Care 3220 4th St E Ste 102 West Fargo ND 58078 Ph: (701) 404-8969 | Affinitas Psychiatric Care 3220 4th St E Ste 102 West Fargo ND 58078 Ph: (701) 639-6532 |
| NPI Number | 1841839735 |
|---|---|
| Provider Enumeration Date | 12/26/2019 |
| Last Update Date | 01/23/2021 |
| Certification Date | 01/06/2021 |
| Medicare PECOS PAC ID | 0143644484 |
|---|---|
| Medicare Enrollment ID | O20200721000541 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841839735 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Rebecca E Elbert |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1235156191 PECOS PAC ID: 1052333671 Enrollment ID: I20051223000272 |
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