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121 W Elm Ave Linton ND 58552-2100 | |
(701) 254-4531 | |
(701) 254-5459 |
Full Name | |
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Speciality | Clinic/Center |
Location | 121 W Elm Ave, Linton, North Dakota |
Authorized Official Name and Position | Lukas Fischer (CEO) |
Authorized Official Contact | 7012543111 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 730 Linton ND 58552-0730 Ph: (701) 254-4531 | 121 W Elm Ave Linton ND 58552-2100 Ph: (701) 254-4531 |
NPI Number | 1568471563 |
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Provider Enumeration Date | 08/07/2006 |
Last Update Date | 04/19/2022 |
Medicare PECOS PAC ID | 5294646345 |
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Medicare Enrollment ID | O20030918000026 |
Identifier | Type | State | Issuer |
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1568471563 | NPI | - | NPPES |
5103 | Medicaid | ND |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |