| Chi St. Alexius Health Carrington Medical Clinic & Urgent Care | |
|
820 5th St N Carrington ND 58421 | |
| (701) 652-2515 | |
| (701) 652-3595 |
| Full Name | Chi St. Alexius Health Carrington Medical Clinic & Urgent Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 820 5th St N, Carrington, 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 Medical Clinic & Urgent Care 820 5th St N Po Box 79 Carrington ND 58421-1223 Ph: (701) 652-2515 | Chi St. Alexius Health Carrington Medical Clinic & Urgent Care 820 5th St N Carrington ND 58421 Ph: (701) 652-2515 |
| NPI Number | 1558389338 |
|---|---|
| Provider Enumeration Date | 07/18/2006 |
| Last Update Date | 08/21/2018 |
| Medicare PECOS PAC ID | 0547177552 |
|---|---|
| Medicare Enrollment ID | O20020815000017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558389338 | NPI | - | NPPES |
| 17052 | Medicaid | ND | |
| 507-001 | Other | ND | NRH BC/BS OF ND |
| 5041 | Medicaid | ND | |
| 8987 | 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 |
Foster County Public Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 881 Main St, Carrington, ND 58421 Phone: 701-652-3087 |