| Cavalier County Memorial Hosptial - Langdon Clinic | |
|
901 2nd St Langdon ND 58249-2407 | |
| (701) 256-6120 | |
| (701) 256-6156 |
| Full Name | Cavalier County Memorial Hosptial - Langdon Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 901 2nd St, Langdon, North Dakota |
| Authorized Official Name and Position | Jeffery Stanley (ADMINISTRATOR/CEO) |
| Authorized Official Contact | 7012566180 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cavalier County Memorial Hosptial - Langdon Clinic 909 2nd St Langdon ND 58249-2407 Ph: (701) 256-6100 | Cavalier County Memorial Hosptial - Langdon Clinic 901 2nd St Langdon ND 58249-2407 Ph: (701) 256-6120 |
| NPI Number | 1730126640 |
|---|---|
| Provider Enumeration Date | 05/31/2006 |
| Last Update Date | 02/08/2019 |
| Medicare PECOS PAC ID | 5092623520 |
|---|---|
| Medicare Enrollment ID | O20100824000882 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730126640 | NPI | - | NPPES |
| 1452090 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 5029 (North Dakota) | Primary |
Cavalier County Memorial Hospital - Langdon Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 909 2nd St, Langdon, ND 58249 Phone: 701-256-6100 Fax: 701-256-2170 |