| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 801 21st Ave Se, Minot, North Dakota |
| Authorized Official Name and Position | Leigh Ann Thompson (DIRECTOR OF CLINIC FINANCE) |
| Authorized Official Contact | 7013236000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 5501 Bismarck ND 58506-5501 Ph: (701) 323-6000 | 801 21st Ave Se Minot ND 58701 Ph: (701) 838-3150 |
| NPI Number | 1831469972 |
|---|---|
| Provider Enumeration Date | 01/06/2012 |
| Last Update Date | 01/06/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831469972 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (North Dakota) | Primary |
Mckenzie County Healthcare Systems Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1002 18th Ave Se, Minot, ND 58701 Phone: 701-852-6143 Fax: 701-842-4025 | |
Minot State University Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 University Ave W, Student Health Center, Minot, ND 58707 Phone: 701-858-3371 | |
Ideal Option, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3520 N Broadway, Minot, ND 58703 Phone: 877-522-1275 Fax: 509-491-3031 |