Amc Clinic | |
612 Center Ave N Ashley ND 58413-7013 | |
(701) 288-3448 | |
(701) 288-3213 |
Full Name | Amc Clinic |
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Speciality | Clinic/Center |
Location | 612 Center Ave N, Ashley, North Dakota |
Authorized Official Name and Position | Eric Heupel (ADMINISTRATOR/CEO) |
Authorized Official Contact | 7012883433 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Amc Clinic Po Box 450 612 Center Ave N Ashley ND 58413-0450 Ph: (701) 288-3448 | Amc Clinic 612 Center Ave N Ashley ND 58413-7013 Ph: (701) 288-3448 |
NPI Number | 1851335830 |
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Provider Enumeration Date | 06/16/2006 |
Last Update Date | 08/13/2024 |
Medicare PECOS PAC ID | 8628981834 |
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Medicare Enrollment ID | O20040423001213 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851335830 | NPI | - | NPPES |
16578 | Medicaid | ND |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (North Dakota) | Primary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
Provider Name | Lori M Bichler |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295840395 PECOS PAC ID: 8426187618 Enrollment ID: I20100526000812 |
Provider Name | James B Macdougall |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1235135823 PECOS PAC ID: 6204729320 Enrollment ID: I20100915000981 |
Provider Name | Patricia Jean Moos |
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Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
Provider Identifiers | NPI Number: 1275826810 PECOS PAC ID: 2769630813 Enrollment ID: I20150109001899 |
Provider Name | Makayla M Vaughan |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316318132 PECOS PAC ID: 6002126596 Enrollment ID: I20151112003123 |
Provider Name | Debra Webb |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285611616 PECOS PAC ID: 3173587342 Enrollment ID: I20160115001046 |
Provider Name | Stacy L Johnson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467894220 PECOS PAC ID: 8729381264 Enrollment ID: I20160118000084 |
Provider Name | Steve Inglish |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1902211410 PECOS PAC ID: 5395964449 Enrollment ID: I20170512001620 |
Provider Name | Cori Randall |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083182174 PECOS PAC ID: 2466798475 Enrollment ID: I20190111003070 |
Provider Name | Dan L Beach |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811500226 PECOS PAC ID: 7810317781 Enrollment ID: I20201014001308 |
Provider Name | Taryn Martin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598205338 PECOS PAC ID: 6103218698 Enrollment ID: I20220112002719 |
Provider Name | David Ring |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1992017222 PECOS PAC ID: 0244472520 Enrollment ID: I20221214000616 |
Tara B Fertility Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 116 2nd Ave Se, Ashley, ND 58413 Phone: 701-471-9745 |