| Rem North Dakota | |
|
1905 2nd St Se Ste 1a Minot ND 58701-6566 | |
| (701) 418-2010 | |
| Not Available |
| Full Name | Rem North Dakota |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1905 2nd St Se Ste 1a, Minot, North Dakota |
| Authorized Official Name and Position | Brett Ian Cohen (COO) |
| Authorized Official Contact | 8003885150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rem North Dakota 1905 2nd St Se Ste 1a Minot ND 58701-6566 Ph: (701) 418-2010 | Rem North Dakota 1905 2nd St Se Ste 1a Minot ND 58701-6566 Ph: (701) 418-2010 |
| NPI Number | 1053912667 |
|---|---|
| Provider Enumeration Date | 11/02/2020 |
| Last Update Date | 04/22/2023 |
| Certification Date | 04/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053912667 | NPI | - | NPPES |
| 1467995 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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