| Regional Medical Center Pc | |
|
2008 Twin City Dr Mandan ND 58554-3820 | |
| (701) 667-1000 | |
| (701) 667-0707 |
| Full Name | Regional Medical Center Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 2008 Twin City Dr, Mandan, North Dakota |
| Authorized Official Name and Position | Vicki L Boehm (BUSINESS MANAGER) |
| Authorized Official Contact | 7016671022 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Regional Medical Center Pc 2008 Twin City Dr Mandan ND 58554-3820 Ph: (701) 667-1000 | Regional Medical Center Pc 2008 Twin City Dr Mandan ND 58554-3820 Ph: (701) 667-1000 |
| NPI Number | 1578594016 |
|---|---|
| Provider Enumeration Date | 07/05/2006 |
| Last Update Date | 08/14/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578594016 | NPI | - | NPPES |
| 1051140001 | Other | ND | DMERC CIGNA |
| 7709620 | Other | SD | SD MEDICAID |
| C52498 | Other | ND | PALMETTO GBA |
| 13249 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4124 (North Dakota) | Primary |
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