| Chi St. Alexius Health Carrington Family Clinic | |
|
118 1st St S New Rockford ND 58356 | |
| (701) 947-2021 | |
| (701) 947-2021 |
| Full Name | Chi St. Alexius Health Carrington Family Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 118 1st St S, New Rockford, North Dakota |
| Authorized Official Name and Position | Kurt Sargent (VP OPERATIONAL FINANCE) |
| Authorized Official Contact | 7012378064 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chi St. Alexius Health Carrington Family Clinic 820 5th St N Carrington ND 58421-1223 Ph: (701) 652-2515 | Chi St. Alexius Health Carrington Family Clinic 118 1st St S New Rockford ND 58356 Ph: (701) 947-2021 |
| NPI Number | 1801811666 |
|---|---|
| Provider Enumeration Date | 07/13/2006 |
| Last Update Date | 08/20/2018 |
| Medicare PECOS PAC ID | 0547177552 |
|---|---|
| Medicare Enrollment ID | O20020815000020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801811666 | NPI | - | NPPES |
| 5048 | Medicaid | ND | |
| 002451 | Other | ND | BC/BS OF ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (North Dakota) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | 5008 (North Dakota) | Primary |
| Provider Name | Shawna L Dobrzelecki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205023926 PECOS PAC ID: 1355430430 Enrollment ID: I20090904000513 |
Dakota Regional Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 13th St N, New Rockford, ND 58356 Phone: 701-786-1709 Fax: 701-786-7121 | |
East Central Center For Exceptional Children Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16 S 8th St, New Rockford, ND 58356 Phone: 701-947-5015 |