| Northland Health Centers | |
|
122 E 2nd St Mcclusky ND 58463 | |
| (701) 363-2296 | |
| (701) 363-2762 |
| Full Name | Northland Health Centers |
|---|---|
| Speciality | Clinic/Center |
| Location | 122 E 2nd St, Mcclusky, 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 |
|---|---|
| Northland Health Centers Po Box 535 Turtle Lake ND 58575 Ph: (701) 448-2054 | Northland Health Centers 122 E 2nd St Mcclusky ND 58463 Ph: (701) 363-2296 |
| NPI Number | 1528142981 |
|---|---|
| Provider Enumeration Date | 10/24/2006 |
| Last Update Date | 02/18/2021 |
| Medicare PECOS PAC ID | 1557270113 |
|---|---|
| Medicare Enrollment ID | O20030513000020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528142981 | NPI | - | NPPES |
| 13704 | Medicaid | ND | |
| 5907 | Medicaid | ND | |
| 24014 | Other | ND | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
St. Alexius Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 122 2nd St. East, Mcclusky, ND 58463 Phone: 701-363-2296 Fax: 701-363-2762 |