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416 Kundert St Turtle Lake ND 58575 | |
| (701) 448-9225 | |
| (701) 448-9224 |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 416 Kundert St, Turtle Lake, 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 |
|---|---|
Po Box 535 Turtle Lake ND 58575 Ph: (701) 448-2054 | 416 Kundert St Turtle Lake ND 58575 Ph: (701) 448-9225 |
| NPI Number | 1457435802 |
|---|---|
| Provider Enumeration Date | 10/24/2006 |
| Last Update Date | 02/18/2021 |
| Medicare PECOS PAC ID | 1557270113 |
|---|---|
| Medicare Enrollment ID | O20030218000002 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457435802 | NPI | - | NPPES |
| 5904 | Medicaid | ND | |
| 24011 | Other | ND | BCBS |
| 13704 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Northland Health Partners Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 55 1st Ave E, Turtle Lake, ND 58575 Phone: 701-448-9225 |