| Native Community Development, Inc. Dba Native, Inc. | |
|
2403 E Thayer Ave Bismarck ND 58501-5014 | |
| (701) 595-5181 | |
| Not Available |
| Full Name | Native Community Development, Inc. Dba Native, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2403 E Thayer Ave, Bismarck, North Dakota |
| Authorized Official Name and Position | Lorraine Davis (CEO) |
| Authorized Official Contact | 7015955181 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Native Community Development, Inc. Dba Native, Inc. 2403 E Thayer Ave Bismarck ND 58501-5014 Ph: () - | Native Community Development, Inc. Dba Native, Inc. 2403 E Thayer Ave Bismarck ND 58501-5014 Ph: (701) 595-5181 |
| NPI Number | 1275208001 |
|---|---|
| Provider Enumeration Date | 08/13/2021 |
| Last Update Date | 08/17/2021 |
| Certification Date | 08/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275208001 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 343900000X | Non-emergency Medical Transport (van) | (* (Not Available)) | Secondary |
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