Richardton Clinic | |
215 3rd Ave W Richardton ND 58652-7109 | |
(701) 974-3372 | |
(701) 584-2397 |
Full Name | Richardton Clinic |
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Speciality | Clinic/Center |
Location | 215 3rd Ave W, Richardton, North Dakota |
Authorized Official Name and Position | Theo Stoller (CEO) |
Authorized Official Contact | 7015842792 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Richardton Clinic Po Box 367 Elgin ND 58533 Ph: (701) 584-2792 | Richardton Clinic 215 3rd Ave W Richardton ND 58652-7109 Ph: (701) 974-3372 |
NPI Number | 1043649486 |
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Provider Enumeration Date | 11/06/2013 |
Last Update Date | 11/12/2019 |
Medicare PECOS PAC ID | 2466363981 |
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Medicare Enrollment ID | O20190513002701 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043649486 | NPI | - | NPPES |
1452461 | Medicaid | ND |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (North Dakota) | Primary |
Provider Name | April M Berger |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154952083 PECOS PAC ID: 0244668853 Enrollment ID: I20200313001530 |
Hoff Chiropractic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 North Avenue West, Richardton, ND 58652 Phone: 701-323-9900 Fax: 701-323-9911 |