Mountrail County Medical Center Inc | |
615 6th St Se Stanley ND 58784-4444 | |
(701) 628-2505 | |
(701) 628-3990 |
Full Name | Mountrail County Medical Center Inc |
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Speciality | Clinic/Center |
Location | 615 6th St Se, Stanley, North Dakota |
Authorized Official Name and Position | Stephanie Everett (CEO/ADMINISTRATOR) |
Authorized Official Contact | 7016822424 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mountrail County Medical Center Inc Po Box 399 Stanley ND 58784-0399 Ph: (701) 628-2424 | Mountrail County Medical Center Inc 615 6th St Se Stanley ND 58784-4444 Ph: (701) 628-2505 |
NPI Number | 1831289362 |
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Provider Enumeration Date | 10/13/2006 |
Last Update Date | 11/01/2022 |
Medicare PECOS PAC ID | 9739088931 |
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Medicare Enrollment ID | O20040107000468 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831289362 | NPI | - | NPPES |
05057 | Medicaid | ND | |
12830 | Medicaid | ND |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Ann M Welch |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962577411 PECOS PAC ID: 1759337967 Enrollment ID: I20051007000847 |
Provider Name | Tammie M Braaflat |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447423538 PECOS PAC ID: 7911068770 Enrollment ID: I20081211000538 |
Provider Name | Gregory L Culver |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1750307740 PECOS PAC ID: 0840395869 Enrollment ID: I20091006000154 |
Provider Name | Tara M Nardacci |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972734499 PECOS PAC ID: 7214077148 Enrollment ID: I20101020000472 |
Provider Name | Mark K Longmuir |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1326278912 PECOS PAC ID: 0143470229 Enrollment ID: I20121025000809 |
Provider Name | Brittany Haugtvedt |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942749247 PECOS PAC ID: 0840561015 Enrollment ID: I20170807000889 |
Provider Name | Tara L Schaefer-nygaard |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1801263884 PECOS PAC ID: 7416384904 Enrollment ID: I20200221002241 |
Provider Name | William Logan Bender |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1922091628 PECOS PAC ID: 3577457514 Enrollment ID: I20201113001271 |
Provider Name | Jessica Larae Charon |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710583885 PECOS PAC ID: 5092128033 Enrollment ID: I20210111002934 |
Provider Name | Pedro Alberto Torres |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1871145193 PECOS PAC ID: 8527459536 Enrollment ID: I20211230001821 |
Provider Name | Carol Elaine Hynek |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750164042 PECOS PAC ID: 5395190532 Enrollment ID: I20231009001904 |
Provider Name | Rosalyn Marie Geier |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538823794 PECOS PAC ID: 7012302235 Enrollment ID: I20231229000415 |
Mcmc Rhc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 615 6th St Se, Stanley, ND 58784 Phone: 701-628-3990 |