Full Name | |
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Speciality | Clinic/center |
Location | 2 3rd Ave Sw, Towner, North Dakota |
Authorized Official Name and Position | Dawn Berg (CEO CCCHC) |
Authorized Official Contact | 7018737788 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1312 Highway 49 N Beulah ND 58523-6038 Ph: (701) 537-2007 | 2 3rd Ave Sw Towner ND 58788-0156 Ph: (701) 537-2007 |
NPI Number | 1407042575 |
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Provider Enumeration Date | 09/21/2007 |
Last Update Date | 01/09/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407042575 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |