Nelson County Health System | |
108 North Main Street Mcville ND 58254-0307 | |
(701) 322-4347 | |
(701) 322-2244 |
Full Name | Nelson County Health System |
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Speciality | Clinic/Center |
Location | 108 North Main Street, Mcville, North Dakota |
Authorized Official Name and Position | Bruce D Bowersox (ADMINISTRATOR) |
Authorized Official Contact | 7013224328 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Nelson County Health System Po Box 307 Mcville ND 58254-0307 Ph: (701) 322-4347 | Nelson County Health System 108 North Main Street Mcville ND 58254-0307 Ph: (701) 322-4347 |
NPI Number | 1578624136 |
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Provider Enumeration Date | 12/13/2006 |
Last Update Date | 05/07/2014 |
Medicare PECOS PAC ID | 5597658104 |
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Medicare Enrollment ID | O20040206000390 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578624136 | NPI | - | NPPES |
016279 | Medicaid | ND | |
005005 | Medicaid | ND | |
004572 | Other | ND | RURAL HEALTH CLINIC |
301001 | Other | ND | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (North Dakota) | Primary |
Provider Name | Tamarack R Czarnik |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1639113749 PECOS PAC ID: 7113824657 Enrollment ID: I20031215000216 |
Provider Name | Jonathon H Berg |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1073513982 PECOS PAC ID: 3173506904 Enrollment ID: I20040611000275 |
Provider Name | Erling D Martinson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1558401554 PECOS PAC ID: 8729015508 Enrollment ID: I20050722000865 |
Provider Name | Beverly A Gibson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801024294 PECOS PAC ID: 1052451366 Enrollment ID: I20091217000502 |
Provider Name | Darlene C Kelly |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114058468 PECOS PAC ID: 6507039799 Enrollment ID: I20111103000650 |
Provider Name | Dori Renae Garrett Baesler |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477115095 PECOS PAC ID: 9739419862 Enrollment ID: I20191002002352 |
Provider Name | Michael L Hammer |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730813130 PECOS PAC ID: 9032593140 Enrollment ID: I20220908000934 |
Nelson County Health System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 N Main St, Mcville, ND 58254 Phone: 701-322-4328 Fax: 701-322-2250 |