Mchs-clinic | |
709 4th Ave Ne Watford City ND 58854-7628 | |
(701) 842-3771 | |
(701) 842-4025 |
Full Name | Mchs-clinic |
---|---|
Speciality | Clinic/Center |
Location | 709 4th Ave Ne, Watford City, North Dakota |
Authorized Official Name and Position | Peter Edis (CEO) |
Authorized Official Contact | 7014448609 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Mchs-clinic 709 4th Ave Ne Watford City ND 58854-7628 Ph: (701) 842-3771 | Mchs-clinic 709 4th Ave Ne Watford City ND 58854-7628 Ph: (701) 842-3771 |
NPI Number | 1063420495 |
---|---|
Provider Enumeration Date | 08/03/2006 |
Last Update Date | 06/09/2023 |
Medicare PECOS PAC ID | 5890768006 |
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Medicare Enrollment ID | O20040817000016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063420495 | NPI | - | NPPES |
720528 | Medicaid | MT | |
6340001 | Other | ND | BLUE CROSS BLUE SHIELD |
13173 | Medicaid | ND | |
MD421ND | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Stephen L Mcdonough |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1912019480 PECOS PAC ID: 5294631529 Enrollment ID: I20031209000289 |
Provider Name | Denise M Mcdonough |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1417069089 PECOS PAC ID: 3274439021 Enrollment ID: I20031211000335 |
Provider Name | Kathryn M Kovar |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1598795767 PECOS PAC ID: 6800792490 Enrollment ID: I20031212000513 |
Provider Name | David C Geier |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1649273913 PECOS PAC ID: 1557255841 Enrollment ID: I20040209000867 |
Provider Name | Sheldon L Swenson |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1104830298 PECOS PAC ID: 2769372408 Enrollment ID: I20040317000778 |
Provider Name | Connie M Ebach |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053417493 PECOS PAC ID: 1759379258 Enrollment ID: I20040504000454 |
Provider Name | Gary W Ramage |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1184645533 PECOS PAC ID: 8325013857 Enrollment ID: I20040830000042 |
Provider Name | Ravindra P Joshi |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1477551422 PECOS PAC ID: 6608835194 Enrollment ID: I20041112001126 |
Provider Name | Walter L Novey |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1558306530 PECOS PAC ID: 6002701331 Enrollment ID: I20061106000191 |
Provider Name | Craig D Smith |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1275602740 PECOS PAC ID: 7214021864 Enrollment ID: I20070913000533 |
Provider Name | Walter T Coombe |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1639196454 PECOS PAC ID: 0042310625 Enrollment ID: I20070926000535 |
Provider Name | Corey J Samuelson |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1649454307 PECOS PAC ID: 3678655677 Enrollment ID: I20080130000162 |
Provider Name | Gregory L Culver |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1750307740 PECOS PAC ID: 0840395869 Enrollment ID: I20091006000154 |
Provider Name | Leszek J Jaszczak |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1467528455 PECOS PAC ID: 1456243922 Enrollment ID: I20120131000574 |
Provider Name | Marisa Albertson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1710117312 PECOS PAC ID: 4486805736 Enrollment ID: I20121113000762 |
Provider Name | Leah M Brewster |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598104119 PECOS PAC ID: 6507008703 Enrollment ID: I20130819000559 |
Provider Name | Yolanda M Newton |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1841482304 PECOS PAC ID: 2860531969 Enrollment ID: I20130905000918 |
Provider Name | Cherry A Mcgrath |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689926727 PECOS PAC ID: 3476776154 Enrollment ID: I20140527001835 |
Provider Name | Tracy B Tomjack |
---|---|
Provider Type | Practitioner - Sports Medicine |
Provider Identifiers | NPI Number: 1508179854 PECOS PAC ID: 4981829314 Enrollment ID: I20140627000620 |
Provider Name | Jessica Marie Comeau |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073917480 PECOS PAC ID: 7810118122 Enrollment ID: I20141029001459 |
Provider Name | Rylan Brantl |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1013178326 PECOS PAC ID: 0648595983 Enrollment ID: I20150209002090 |
Provider Name | Robert J Bates |
---|---|
Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1538164231 PECOS PAC ID: 8628158714 Enrollment ID: I20150831000714 |
Provider Name | Gillian E Lavik |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1659690618 PECOS PAC ID: 2668603747 Enrollment ID: I20150930001711 |
Provider Name | Jodell J Schmidt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619482080 PECOS PAC ID: 9830450030 Enrollment ID: I20180305001106 |
Provider Name | Danielle L Kiedrowski |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1205337888 PECOS PAC ID: 2860754538 Enrollment ID: I20180315002149 |
Provider Name | Cynthia L Wald |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912498593 PECOS PAC ID: 7719237932 Enrollment ID: I20180910003123 |
Provider Name | Lucinda L Mundorf |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1497732374 PECOS PAC ID: 7810913951 Enrollment ID: I20190311001651 |
Provider Name | Cimberly Faye Berg |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497224224 PECOS PAC ID: 4385977172 Enrollment ID: I20190611000331 |
Provider Name | Worku A Metaferia |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437500972 PECOS PAC ID: 1557640158 Enrollment ID: I20190821002670 |
Provider Name | Amy J Guzman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306495072 PECOS PAC ID: 7517298086 Enrollment ID: I20191015000256 |
Provider Name | Wannapak Richter |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1811418684 PECOS PAC ID: 7719310085 Enrollment ID: I20191130000111 |
Provider Name | Dean P J Williams |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1104841501 PECOS PAC ID: 6103721758 Enrollment ID: I20200411000296 |
Provider Name | Maria Marchenko |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1821248451 PECOS PAC ID: 1456539980 Enrollment ID: I20200527002309 |
Provider Name | Osmany Duany |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1578792412 PECOS PAC ID: 6305083924 Enrollment ID: I20200527002510 |
Provider Name | Mckayla Haugeberg |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1184241507 PECOS PAC ID: 5890114748 Enrollment ID: I20200928001066 |
Provider Name | Lisa M Sanford |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740896828 PECOS PAC ID: 7416377122 Enrollment ID: I20201019002887 |
Provider Name | Lee Kiedrowski |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1962997338 PECOS PAC ID: 5890107429 Enrollment ID: I20201223001300 |
Provider Name | Craig I Goldstein |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1417064189 PECOS PAC ID: 0143205195 Enrollment ID: I20210120002386 |
Provider Name | Haseeb Kazim |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1346273786 PECOS PAC ID: 5092841049 Enrollment ID: I20210304002721 |
Provider Name | Christina Shockley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043824501 PECOS PAC ID: 8921033291 Enrollment ID: I20210315002348 |
Provider Name | Vincent Adjetey |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1093200420 PECOS PAC ID: 4284033622 Enrollment ID: I20210604000820 |
Provider Name | Angela R Ekblad |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144852070 PECOS PAC ID: 6305246539 Enrollment ID: I20210609003474 |
Provider Name | Jennifer J Arnhold |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1043283203 PECOS PAC ID: 7810940665 Enrollment ID: I20210730000991 |
Provider Name | Jessica Mastrapa |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1649698986 PECOS PAC ID: 7719103662 Enrollment ID: I20211001001984 |
Provider Name | Heather Leann Bowen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851982334 PECOS PAC ID: 6901213495 Enrollment ID: I20211011000400 |
Provider Name | Jade A Kelling |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366179509 PECOS PAC ID: 9234505090 Enrollment ID: I20221019000874 |
Provider Name | Paul Dearing |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1497789093 PECOS PAC ID: 7012968571 Enrollment ID: I20221104000746 |
Provider Name | Stephen Vanwylen |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1437115565 PECOS PAC ID: 1850336272 Enrollment ID: I20221110002174 |
Provider Name | Jessica Robinson |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1497995880 PECOS PAC ID: 7810295516 Enrollment ID: I20221215000949 |
Provider Name | Amy Lynn Roden |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184013153 PECOS PAC ID: 2860713807 Enrollment ID: I20230105002309 |
Provider Name | Trevor Thorpe |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1710482740 PECOS PAC ID: 0143583575 Enrollment ID: I20230321000799 |
Provider Name | Dean T Langenfeld |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1972896447 PECOS PAC ID: 4486939964 Enrollment ID: I20230426002788 |
Provider Name | Luke Cutherell |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1619975216 PECOS PAC ID: 5991806986 Enrollment ID: I20231212003423 |
Provider Name | Sarah Jane Israelson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1922098581 PECOS PAC ID: 3577471192 Enrollment ID: I20240208004432 |
Provider Name | Liza Ystaas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124646146 PECOS PAC ID: 5597182279 Enrollment ID: I20240213004753 |
Provider Name | Lisa Breiterman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053670968 PECOS PAC ID: 8921250895 Enrollment ID: I20240215003965 |
Provider Name | Nicholas Finlinson |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1376017459 PECOS PAC ID: 8729329842 Enrollment ID: I20240216004068 |
Provider Name | Lexyn Walker |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1568020220 PECOS PAC ID: 6901130293 Enrollment ID: I20240229000946 |
Provider Name | Philomena Cunningham |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427547561 PECOS PAC ID: 8628326873 Enrollment ID: I20240430004219 |
Provider Name | Brett Lawlor |
---|---|
Provider Type | Practitioner - Pain Management |
Provider Identifiers | NPI Number: 1063403848 PECOS PAC ID: 3274432885 Enrollment ID: I20240503003566 |
Provider Name | Amier Ahmad |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1689061897 PECOS PAC ID: 8224359807 Enrollment ID: I20240507001856 |
Provider Name | Kelsey Louise Kuehn |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1295465102 PECOS PAC ID: 0244671972 Enrollment ID: I20240513003001 |
Provider Name | Carol Uhlman |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1932183902 PECOS PAC ID: 4981504826 Enrollment ID: I20240522000014 |
Provider Name | Ralph Cepero |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1952379414 PECOS PAC ID: 7618990623 Enrollment ID: I20240612001874 |
Innovative Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 340 N Main St Ste 311, Watford City, ND 58854 Phone: 701-444-2888 Fax: 701-444-2813 | |
Mckenzie Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 709 4th Ave Ne, Watford City, ND 58854 Phone: 701-842-3771 Fax: 701-842-4025 | |
Anova Family Health Center Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 113 Main Street South, Watford City, ND 58854 Phone: 701-842-6400 Fax: 701-842-6403 |