First Care Rhc | |
115 Vivian St. Park River ND 58270-4540 | |
(701) 284-7555 | |
(701) 284-4605 |
Full Name | First Care Rhc |
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Speciality | Clinic/Center |
Location | 115 Vivian St., Park River, North Dakota |
Authorized Official Name and Position | Louise Dryburgh (CEO) |
Authorized Official Contact | 7012847500 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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First Care Rhc Po Box I 115 Vivian St. Park River ND 58270-0708 Ph: (701) 284-7555 | First Care Rhc 115 Vivian St. Park River ND 58270-4540 Ph: (701) 284-7555 |
NPI Number | 1306850706 |
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Provider Enumeration Date | 07/28/2006 |
Last Update Date | 11/27/2007 |
Medicare PECOS PAC ID | 0840102760 |
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Medicare Enrollment ID | O20040426000229 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306850706 | NPI | - | NPPES |
D05074 | Medicaid | ND |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Provider Name | Inder V Khokha |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1225089949 PECOS PAC ID: 5698669844 Enrollment ID: I20040210000422 |
Provider Name | William F Wosick |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1700808375 PECOS PAC ID: 1254228679 Enrollment ID: I20040301001239 |
Provider Name | Mirza B Baig |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1265404073 PECOS PAC ID: 6709772833 Enrollment ID: I20060330000342 |
Provider Name | Joel J Johnson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1528138542 PECOS PAC ID: 9830220888 Enrollment ID: I20100708000429 |
Provider Name | Mandi L Johnson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1639374960 PECOS PAC ID: 8022205855 Enrollment ID: I20101206001256 |
Provider Name | Ronald J Brockman |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1851498638 PECOS PAC ID: 1456361971 Enrollment ID: I20111208000792 |
Provider Name | Joshua Johnson |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1811127905 PECOS PAC ID: 7416081591 Enrollment ID: I20220902001294 |
Provider Name | Dennis Heaton |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1144453978 PECOS PAC ID: 6901944669 Enrollment ID: I20230919001122 |
Provider Name | Bradley John Otto |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1841649084 PECOS PAC ID: 6800189697 Enrollment ID: I20240216001882 |
Physician Management Services Of North Dakota, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 Vivian St, Park River, ND 58270 Phone: 888-829-8550 | |
Park River Family Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 503 Park St W Ste B, Park River, ND 58270 Phone: 701-284-6663 Fax: 701-284-6923 |