Northland Health Centers | |
914 S 12th St Suite 101 Bismarck ND 58504 | |
(701) 448-2054 | |
(701) 448-2056 |
Full Name | Northland Health Centers |
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Speciality | Clinic/Center |
Location | 914 S 12th St, Bismarck, North Dakota |
Authorized Official Name and Position | Rachel Thomas (CFO) |
Authorized Official Contact | 7014482054 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Northland Health Centers Po Box 535 Turtle Lake ND 58575-0535 Ph: (701) 448-2054 | Northland Health Centers 914 S 12th St Suite 101 Bismarck ND 58504 Ph: (701) 448-2054 |
NPI Number | 1841723855 |
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Provider Enumeration Date | 04/06/2017 |
Last Update Date | 02/18/2021 |
Medicare PECOS PAC ID | 1557270113 |
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Medicare Enrollment ID | O20170914000869 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841723855 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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