Full Name | |
---|---|
Speciality | Clinic/center - Rural Health |
Location | 321 Main St, Gackle, North Dakota |
Authorized Official Name and Position | Valerie Rohweder (CREDENTIALING/INSURANCE) |
Authorized Official Contact | 7014523207 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 647 Wishek ND 58495-0647 Ph: (701) 452-2364 | 321 Main St Gackle ND 58442-7109 Ph: (701) 485-3611 |
NPI Number | 1154522241 |
---|---|
Provider Enumeration Date | 05/29/2007 |
Last Update Date | 10/06/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154522241 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | 5053A (North Dakota) | Primary |