| Mandaree Community Clinic | |
|
404 Ridge Road Mandaree ND 58757 | |
| (701) 421-1357 | |
| Not Available |
| Full Name | Mandaree Community Clinic |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 404 Ridge Road, Mandaree, North Dakota |
| Authorized Official Name and Position | Kurt Benji Kitagawa (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3086609321 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mandaree Community Clinic 1118 East C Street North Platte NE 69101 Ph: (308) 660-9321 | Mandaree Community Clinic 404 Ridge Road Mandaree ND 58757 Ph: (701) 421-1357 |
| NPI Number | 1194106997 |
|---|---|
| Provider Enumeration Date | 06/17/2015 |
| Last Update Date | 02/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194106997 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | 38,708,300 (North Dakota) | Primary |
Mandaree Health Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 445 #2 School Street, Mandaree, ND 58757 Phone: 701-627-4781 Fax: 701-627-3805 |