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1201 11th Ave Sw Minot ND 58701-4207 | |
| (701) 858-6700 | |
| (701) 858-6749 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 1201 11th Ave Sw, Minot, North Dakota |
| Authorized Official Name and Position | Kimberly Turner Krohn (PROGRAM DIRECTOR) |
| Authorized Official Contact | 7018586700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1201 11th Ave Sw Minot ND 58701-4207 Ph: (701) 858-6700 | 1201 11th Ave Sw Minot ND 58701-4207 Ph: (701) 858-6700 |
| NPI Number | 1316008238 |
|---|---|
| Provider Enumeration Date | 12/13/2006 |
| Last Update Date | 11/06/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316008238 | NPI | - | NPPES |
| 11943 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Mckenzie County Healthcare Systems Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1002 18th Ave Se, Minot, ND 58701 Phone: 701-852-6143 Fax: 701-842-4025 | |
Minot State University Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 University Ave W, Student Health Center, Minot, ND 58707 Phone: 701-858-3371 | |
Ideal Option, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3520 N Broadway, Minot, ND 58703 Phone: 877-522-1275 Fax: 509-491-3031 |