| Hope House | |
|
2014 7th St Se Bemidji MN 56601-5051 | |
| (218) 444-6748 | |
| (218) 444-8664 |
| Full Name | Hope House |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2014 7th St Se, Bemidji, Minnesota |
| Authorized Official Name and Position | Robin Wold (DIRECTOR) |
| Authorized Official Contact | 2184446748 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope House Po Box 1097 Bemidji MN 56619-1097 Ph: (218) 444-6748 | Hope House 2014 7th St Se Bemidji MN 56601-5051 Ph: (218) 444-6748 |
| NPI Number | 1023283538 |
|---|---|
| Provider Enumeration Date | 04/25/2008 |
| Last Update Date | 01/04/2011 |
| Medicare PECOS PAC ID | 3678507878 |
|---|---|
| Medicare Enrollment ID | O20050926001107 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023283538 | NPI | - | NPPES |
| 188559600 | Medicaid | MN | |
| 795355100 | Medicaid | MN | |
| 7H034CO | Other | MN | BLUE CROSS/BLUE SHIELD |
| 85D48HO | Other | MN | BLUE CROSS/BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Tami D Lindell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033364245 PECOS PAC ID: 5092855601 Enrollment ID: I20100114000565 |
| Provider Name | Anthony D Kramer |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1972997831 PECOS PAC ID: 0648502146 Enrollment ID: I20200909000262 |
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