| 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 | Yes. This clinic participates in medicare program and accept medicare insurance. |
| 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 |
| Medicare PECOS PAC ID | 5092721266 |
|---|---|
| Medicare Enrollment ID | O20060224000308 |
| 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 |
| Provider Name | Dean M Beck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821032053 PECOS PAC ID: 3577558675 Enrollment ID: I20040419000115 |
| Provider Name | Theresa A Porter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386755023 PECOS PAC ID: 5799712584 Enrollment ID: I20050723000050 |
| Provider Name | Kayla Lee Heinrich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194369009 PECOS PAC ID: 6800222365 Enrollment ID: I20200203000644 |
| Provider Name | Alisa Dinges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194365759 PECOS PAC ID: 5597192500 Enrollment ID: I20200303000971 |
| Provider Name | Christina Marie Striegel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437614146 PECOS PAC ID: 3476949447 Enrollment ID: I20220331001862 |
| Provider Name | Tana Rae Hoornaert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710551114 PECOS PAC ID: 8022558964 Enrollment ID: I20240906001424 |
| Provider Name | Lauren R. Folmer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437725355 PECOS PAC ID: 3971034711 Enrollment ID: I20241003000995 |
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