Coal Country Community Health Center is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Killdeer, North Dakota. The current practice location for Coal Country Community Health Center is 150 Central Ave N, Killdeer, North Dakota. For appointments, you can reach them via phone at
(701) 764-5822. The mailing address for Coal Country Community Health Center is 150 Central Ave, Killdeer, North Dakota and phone number is (701) 764-5822.
Coal Country Community Health Center is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1407235575. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(701) 764-5822.
Primary Care Clinic Profile
| Full Name | Coal Country Community Health Center |
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| Speciality | Clinic/Center |
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| Location | 150 Central Ave N, Killdeer, North Dakota |
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| Authorized Official Name and Position | Darrold Bertsch (CEO) |
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| Authorized Official Contact | 7018734445 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Coal Country Community Health Center
150 Central Ave
Killdeer
ND 58640-4018
Ph: (701) 764-5822 | Coal Country Community Health Center
150 Central Ave N
Killdeer
ND 58640-4018
Ph: (701) 764-5822 |
NPI Details:
| NPI Number | 1407235575 |
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| Provider Enumeration Date | 05/22/2015 |
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| Last Update Date | 12/08/2016 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 9436042892 |
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| Medicare Enrollment ID | O20150909002323 |
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Medical Identifiers
Medical identifiers for Coal Country Community Health Center such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407235575 | NPI | - | NPPES |
| 1464996 | Medicaid | ND | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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