| Essentia Health Wahpeton Clinic | |
|
275 11th St S Wahpeton ND 58075-4655 | |
| (701) 642-2000 | |
| (701) 671-4153 |
| Full Name | Essentia Health Wahpeton Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 275 11th St S, Wahpeton, North Dakota |
| Authorized Official Name and Position | Alan Hurley (COO) |
| Authorized Official Contact | 7013647667 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Essentia Health Wahpeton Clinic 275 11th St S Wahpeton ND 58075-4655 Ph: (701) 642-2000 | Essentia Health Wahpeton Clinic 275 11th St S Wahpeton ND 58075-4655 Ph: (701) 642-2000 |
| NPI Number | 1790965440 |
|---|---|
| Provider Enumeration Date | 11/10/2007 |
| Last Update Date | 03/01/2024 |
| Medicare PECOS PAC ID | 9931298155 |
|---|---|
| Medicare Enrollment ID | O20100930091825 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790965440 | NPI | - | NPPES |
| 046927000 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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