Central Dakota Clinic | |
922 Lincoln Ave Harvey ND 58341-1524 | |
(701) 324-4856 | |
(701) 324-4858 |
Full Name | Central Dakota Clinic |
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Speciality | Family Medicine |
Location | 922 Lincoln Ave, Harvey, North Dakota |
Authorized Official Name and Position | Charles D Nyhus (OWNER) |
Authorized Official Contact | 7013244856 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Central Dakota Clinic 922 Lincoln Ave Harvey ND 58341-1524 Ph: (701) 324-4856 | Central Dakota Clinic 922 Lincoln Ave Harvey ND 58341-1524 Ph: (701) 324-4856 |
NPI Number | 1720156664 |
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Provider Enumeration Date | 11/30/2006 |
Last Update Date | 12/11/2007 |
Medicare PECOS PAC ID | 5698740165 |
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Medicare Enrollment ID | O20040827001108 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720156664 | NPI | - | NPPES |
10310 | Medicaid | ND |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Charles D Nyhus |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1700954633 PECOS PAC ID: 1254324270 Enrollment ID: I20040827001078 |
Northern Family Wellness & Chiropractic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2972 25th St Ne, Harvey, ND 58341 Phone: 701-324-4722 | |
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Family Care Clinic, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 817 Lincoln Ave, Harvey, ND 58341 Phone: 701-324-2171 Fax: 701-324-2173 | |
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