Coal Country Community Health Center | |
1312 Highway 49 N Beulah ND 58523 | |
(701) 873-4445 | |
(701) 873-4199 |
Full Name | Coal Country Community Health Center |
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Speciality | Clinic/Center |
Location | 1312 Highway 49 N, Beulah, North Dakota |
Authorized Official Name and Position | Darrold Bertsch (CEO) |
Authorized Official Contact | 7018734445 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Coal Country Community Health Center 1312 Highway 49 N Beulah ND 58523-6038 Ph: (701) 873-4445 | Coal Country Community Health Center 1312 Highway 49 N Beulah ND 58523 Ph: (701) 873-4445 |
NPI Number | 1942288329 |
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Provider Enumeration Date | 01/05/2006 |
Last Update Date | 06/15/2018 |
Medicare PECOS PAC ID | 9436042892 |
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Medicare Enrollment ID | O20040317001173 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942288329 | NPI | - | NPPES |
05909 | Medicaid | ND |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Provider Name | Sharon J Olson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598743072 PECOS PAC ID: 3072419258 Enrollment ID: I20031209000568 |
Provider Name | Mark Doerner |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1437252293 PECOS PAC ID: 3072419001 Enrollment ID: I20031210000782 |
Provider Name | Aaron M Garman |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1457339939 PECOS PAC ID: 0446156129 Enrollment ID: I20031211001076 |
Provider Name | Thomas D Kaspari |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1528046000 PECOS PAC ID: 4688571110 Enrollment ID: I20031215000205 |
Provider Name | Jacinta-jon T Klindworth |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1205814787 PECOS PAC ID: 1355248618 Enrollment ID: I20031215000843 |
Provider Name | Rodney Leon Zimmerman |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1417149279 PECOS PAC ID: 9739088907 Enrollment ID: I20040107000295 |
Provider Name | Thomas J Eick |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1972544708 PECOS PAC ID: 0941255434 Enrollment ID: I20050317000430 |
Provider Name | Robert J Volk |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932140050 PECOS PAC ID: 0143220905 Enrollment ID: I20070102000220 |
Provider Name | Corrie L Rogness |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609078302 PECOS PAC ID: 4981798808 Enrollment ID: I20070921000467 |
Provider Name | Heather Ann Czywczynski |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285920587 PECOS PAC ID: 1456529833 Enrollment ID: I20110801000111 |
Provider Name | Debra L Sailer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447548623 PECOS PAC ID: 7113199068 Enrollment ID: I20111018000867 |
Provider Name | Melissa M Herman |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1558502336 PECOS PAC ID: 6103077391 Enrollment ID: I20121116000257 |
Provider Name | Michelle J Placke |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1942648878 PECOS PAC ID: 8426278631 Enrollment ID: I20150729010066 |
Provider Name | Cassandra Altringer |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205283090 PECOS PAC ID: 8426344268 Enrollment ID: I20160906000474 |
Provider Name | Courtney Dean |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295258507 PECOS PAC ID: 8921370594 Enrollment ID: I20170816002270 |
Provider Name | Janet M Wanek |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1235300245 PECOS PAC ID: 9537421854 Enrollment ID: I20180327001724 |
Provider Name | Kelsey Leigh Striefel |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114405230 PECOS PAC ID: 1557606266 Enrollment ID: I20181228001303 |
Provider Name | Abbey Marie Pelton |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316564115 PECOS PAC ID: 4183048440 Enrollment ID: I20200720001413 |
Provider Name | Kelsey Ann Wiseman |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1770072837 PECOS PAC ID: 1456756881 Enrollment ID: I20210824002093 |
Provider Name | Ann O Ruffo |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1093249195 PECOS PAC ID: 7810225653 Enrollment ID: I20220727001690 |
Provider Name | Talitha K Schnaidt |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1740556414 PECOS PAC ID: 6709220080 Enrollment ID: I20240214002042 |