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18 Main St Sw Ste B Bowbells ND 58721 | |
(701) 377-6400 | |
(701) 377-6401 |
Full Name | |
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Speciality | Clinic/Center |
Location | 18 Main St Sw Ste B, Bowbells, 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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Po Box 535 Turtle Lake ND 58575-0535 Ph: (701) 448-2054 | 18 Main St Sw Ste B Bowbells ND 58721 Ph: (701) 377-6400 |
NPI Number | 1174866271 |
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Provider Enumeration Date | 03/27/2013 |
Last Update Date | 02/18/2021 |
Medicare PECOS PAC ID | 1557270113 |
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Medicare Enrollment ID | O20131211001537 |
Identifier | Type | State | Issuer |
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1174866271 | NPI | - | NPPES |
5924 | Medicaid | ND |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |