| Anne Carlsen Center | |
|
701 3rd St Nw Jamestown ND 58401-2963 | |
| (701) 252-3850 | |
| Not Available |
| Full Name | Anne Carlsen Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 701 3rd St Nw, Jamestown, North Dakota |
| Authorized Official Name and Position | Tim Eissinger (CEO) |
| Authorized Official Contact | 7012523850 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anne Carlsen Center 701 3rd St Nw Jamestown ND 58401-2963 Ph: (701) 252-3850 | Anne Carlsen Center 701 3rd St Nw Jamestown ND 58401-2963 Ph: (701) 252-3850 |
| NPI Number | 1316117542 |
|---|---|
| Provider Enumeration Date | 03/04/2008 |
| Last Update Date | 02/18/2021 |
| Certification Date | 02/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316117542 | NPI | - | NPPES |
| 85522 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 261QD1600X | Clinic/center - Developmental Disabilities | 85522 (North Dakota) | Secondary |
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