| Nuvation Health Services P.c. | |
|
600 South 2nd St Suite 201 Bismarck ND 58504-5729 | |
| (701) 258-3780 | |
| (701) 258-6431 |
| Full Name | Nuvation Health Services P.c. |
|---|---|
| Speciality | Counselor |
| Location | 600 South 2nd St, Bismarck, North Dakota |
| Authorized Official Name and Position | Theresa Ann Porter (PARTNER-AUTHORIZED SIGNATURE) |
| Authorized Official Contact | 7013917968 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nuvation Health Services P.c. 600 South 2nd St Suite 201 Bismarck ND 58504-5729 Ph: (701) 258-3780 | Nuvation Health Services P.c. 600 South 2nd St Suite 201 Bismarck ND 58504-5729 Ph: (701) 258-3780 |
| NPI Number | 1982754552 |
|---|---|
| Provider Enumeration Date | 01/12/2007 |
| Last Update Date | 03/03/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982754552 | NPI | - | NPPES |
| 19160 | Medicaid | ND | |
| 119426 | Other | HEALTH PARTNERS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| 101YM0800X | Counselor - Mental Health | 2899 (North Dakota) | Secondary |
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