Full Name | |
---|---|
Speciality | Clinic/center - Rural Health |
Location | 302 N Main St, Elgin, North Dakota |
Authorized Official Name and Position | George S Hsu (OWNER) |
Authorized Official Contact | 7015843010 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
302 N Main St Po Box 277 Elgin ND 58533-7108 Ph: (701) 584-3010 | 302 N Main St Elgin ND 58533-7108 Ph: (701) 584-3010 |
NPI Number | 1083935266 |
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Provider Enumeration Date | 06/22/2010 |
Last Update Date | 06/22/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083935266 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | 353807 (North Dakota) | Primary |