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164 W 13th St Grafton ND 58237-1826 | |
(701) 352-1620 | |
(701) 352-1671 |
Full Name | |
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Speciality | Clinic/Center |
Location | 164 W 13th St, Grafton, North Dakota |
Authorized Official Name and Position | Alan Oneil (CEO) |
Authorized Official Contact | 7013521620 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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164 W 13th St Grafton ND 58237-1826 Ph: (701) 352-1620 | 164 W 13th St Grafton ND 58237-1826 Ph: (701) 352-1620 |
NPI Number | 1558423665 |
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Provider Enumeration Date | 12/14/2006 |
Last Update Date | 09/27/2018 |
Medicare PECOS PAC ID | 8123925401 |
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Medicare Enrollment ID | O20031215000963 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558423665 | NPI | - | NPPES |
N6368 | Other | ND | MEDICARE B |
C05922 | Other | MN | WPS HEALTH INSURANCE |
Community Health Service Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1113 W 11th St, Grafton, ND 58237 Phone: 701-352-4048 Fax: 701-352-0268 |