| Cavalier County Memorial Hosptial - Walhalla Clinic | |
|
301 5th St Walhalla ND 58282-4625 | |
| (701) 549-2711 | |
| Not Available |
| Full Name | Cavalier County Memorial Hosptial - Walhalla Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 301 5th St, Walhalla, 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 - Walhalla Clinic 909 2nd St Langdon ND 58249-2407 Ph: (701) 256-6100 | Cavalier County Memorial Hosptial - Walhalla Clinic 301 5th St Walhalla ND 58282-4625 Ph: (701) 549-2711 |
| NPI Number | 1497815310 |
|---|---|
| Provider Enumeration Date | 12/11/2006 |
| Last Update Date | 02/08/2019 |
| Medicare PECOS PAC ID | 5092623520 |
|---|---|
| Medicare Enrollment ID | O20120117000605 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497815310 | NPI | - | NPPES |
| 1470144 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 5029 (North Dakota) | Primary |
The Little Frontier Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1218 Delano Ave, Walhalla, ND 58282 Phone: 303-993-9882 |