| Northern Plains Children's Advocacy Center | |
|
20 1st St Sw Ste 202 Northern Plains Children's Advocacy Center Minot ND 58701-3851 | |
| (701) 852-0836 | |
| (701) 852-0623 |
| Full Name | Northern Plains Children's Advocacy Center |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 20 1st St Sw Ste 202, Minot, North Dakota |
| Authorized Official Name and Position | Jeanne J Lemay (NPCAC DIRECTOR) |
| Authorized Official Contact | 7018520836 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Plains Children's Advocacy Center Po Box 3239 Minot ND 58702-3239 Ph: (701) 858-2083 | Northern Plains Children's Advocacy Center 20 1st St Sw Ste 202 Northern Plains Children's Advocacy Center Minot ND 58701-3851 Ph: (701) 852-0836 |
| NPI Number | 1104253020 |
|---|---|
| Provider Enumeration Date | 10/09/2013 |
| Last Update Date | 08/18/2014 |
| Medicare PECOS PAC ID | 6709144546 |
|---|---|
| Medicare Enrollment ID | O20171227001473 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104253020 | NPI | - | NPPES |
| 1760571285 | Other | ND | BLUE CROSS BLUE SHIELD |
| 19261 | Medicaid | ND | |
| 1245329812 | Other | ND | BLUE CROSS BLUE SHIELD |
| 19238 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2198 (North Dakota) | Primary |
| 251S00000X | Community/behavioral Health | 3960 (North Dakota) | Secondary |
| Provider Name | Rochelle Renee Nyberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609964238 PECOS PAC ID: 4183712524 Enrollment ID: I20071117000172 |
| Provider Name | Tricia A Baldwin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760571285 PECOS PAC ID: 5294872354 Enrollment ID: I20091021000630 |
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