Rvision Health Pc | |
706 38th St Nw Ste A Fargo ND 58102-2953 | |
(877) 893-4792 | |
Not Available |
Full Name | Rvision Health Pc |
---|---|
Speciality | Clinic/Center |
Location | 706 38th St Nw Ste A, Fargo, North Dakota |
Authorized Official Name and Position | Matt Mesnik (CHIEF MEDICAL OFFICER) |
Authorized Official Contact | 7636704265 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Rvision Health Pc 706 38th Street Nw Unit A Fargo ND 58102-1618 Ph: (877) 893-4792 | Rvision Health Pc 706 38th St Nw Ste A Fargo ND 58102-2953 Ph: (877) 893-4792 |
NPI Number | 1033845243 |
---|---|
Provider Enumeration Date | 07/29/2022 |
Last Update Date | 12/09/2022 |
Medicare PECOS PAC ID | 9830566280 |
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Medicare Enrollment ID | O20221027003054 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033845243 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Matthew Mesnik |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1124060272 PECOS PAC ID: 8729072921 Enrollment ID: I20221028000770 |
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