Full Name | |
---|---|
Speciality | Clinic/center |
Location | 4 1st Ave Se, Kulm, North Dakota |
Authorized Official Name and Position | Kathleen Hoeft (CEO) |
Authorized Official Contact | 7012883433 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
612 Center Ave N Po Box 450 Ashley ND 58413-7013 Ph: (701) 288-3433 | 4 1st Ave Se Kulm ND 58456-7221 Ph: (701) 647-2722 |
NPI Number | 1659333425 |
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Provider Enumeration Date | 04/05/2006 |
Last Update Date | 07/24/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659333425 | NPI | - | NPPES |
125002 | Other | ND | AMC KULM CLINIC |
016578 | Medicaid | ND |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |