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202 E Villard St Dickinson ND 58601-5247 | |
(701) 227-0131 | |
(701) 227-4750 |
Full Name | |
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Speciality | Clinic/center - Community Health |
Location | 202 E Villard St, Dickinson, North Dakota |
Authorized Official Name and Position | Erv Bren (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 7012270131 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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202 E Villard St Dickinson ND 58601-5247 Ph: (701) 227-0131 | 202 E Villard St Dickinson ND 58601-5247 Ph: (701) 227-0131 |
NPI Number | 1174501712 |
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Provider Enumeration Date | 01/04/2006 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174501712 | NPI | - | NPPES |
54224 | Medicaid | ND |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QC1500X | Clinic/center - Community Health | (North Dakota) | Primary |
Ideal Option, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 44 24th St E, Dickinson, ND 58601 Phone: 877-522-1275 Fax: 509-491-3031 | |
Ideal Option, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1260 W Villard St Unit 1, Dickinson, ND 58601 Phone: 877-522-1275 Fax: 509-491-3031 | |