Lignite Clinic | |
115 Main St. Lignite ND 58752 | |
(701) 933-2220 | |
(701) 933-2220 |
Full Name | Lignite Clinic |
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Speciality | Clinic/center - Rural Health |
Location | 115 Main St., Lignite, North Dakota |
Authorized Official Name and Position | Keith Baker (ASSISTANT ADMINISTRATOR) |
Authorized Official Contact | 7019656349 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lignite Clinic Po Box C Crosby ND 58730-0658 Ph: (701) 933-2220 | Lignite Clinic 115 Main St. Lignite ND 58752 Ph: (701) 933-2220 |
NPI Number | 1578575502 |
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Provider Enumeration Date | 08/11/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578575502 | NPI | - | NPPES |
11726 | Other | ND | NORTH DAKOTA MEDICAID |
5126 | Medicaid | ND |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | 353430 (North Dakota) | Primary |