| Johnson Clinic Pc | |
|
800 3rd Avenue Southwest Rugby ND 58368 | |
| (701) 776-5235 | |
| (701) 776-5297 |
| Full Name | Johnson Clinic Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 800 3rd Avenue Southwest, Rugby, North Dakota |
| Authorized Official Name and Position | Bonnie E Mattern (ADMINISTRATOR) |
| Authorized Official Contact | 7017765235 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Johnson Clinic Pc 800 3rd Avenue Southwest Rugby ND 58368 Ph: (701) 776-5235 | Johnson Clinic Pc 800 3rd Avenue Southwest Rugby ND 58368 Ph: (701) 776-5235 |
| NPI Number | 1609898600 |
|---|---|
| Provider Enumeration Date | 07/25/2006 |
| Last Update Date | 11/23/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609898600 | NPI | - | NPPES |
| 10152 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
Heart Of America Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 S Main Ave, Rugby, ND 58368 Phone: 701-776-5455 | |
Heart Of America Johnson Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2975 Highway 2 E, Ste 100, Rugby, ND 58368 Phone: 701-776-5235 |