| Southwest Medical Clinic | |
|
802 2nd St Nw Bowman ND 58623-4483 | |
| (701) 523-5555 | |
| (701) 523-7107 |
| Full Name | Southwest Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 802 2nd St Nw, Bowman, North Dakota |
| Authorized Official Name and Position | Lisa Knopp (CLINIC MANAGER) |
| Authorized Official Contact | 7015235555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Medical Clinic 802 2nd St Nw Ste 1 Bowman ND 58623-4469 Ph: (701) 523-5555 | Southwest Medical Clinic 802 2nd St Nw Bowman ND 58623-4483 Ph: (701) 523-5555 |
| NPI Number | 1023083714 |
|---|---|
| Provider Enumeration Date | 02/17/2006 |
| Last Update Date | 08/19/2024 |
| Medicare PECOS PAC ID | 3173512704 |
|---|---|
| Medicare Enrollment ID | O20041005000745 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023083714 | NPI | - | NPPES |
| 11469 | Medicaid | ND | |
| 1134779-00 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Kurt G Datz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720159973 PECOS PAC ID: 1355245895 Enrollment ID: I20031216000123 |
| Provider Name | Mark G Peterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134182355 PECOS PAC ID: 7214979616 Enrollment ID: I20050525001101 |
| Provider Name | Paul L Swisher |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629164371 PECOS PAC ID: 3577521756 Enrollment ID: I20060313000342 |
| Provider Name | Roy A Cordy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902848971 PECOS PAC ID: 5597658237 Enrollment ID: I20070109000455 |
| Provider Name | Christine Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750385399 PECOS PAC ID: 9234310319 Enrollment ID: I20110222001144 |
| Provider Name | William Mason Bone |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750335055 PECOS PAC ID: 8628979002 Enrollment ID: I20130221000338 |
| Provider Name | Edward Gregory Moellmer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942566195 PECOS PAC ID: 4486978079 Enrollment ID: I20160726000922 |
| Provider Name | William Logan Bender |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922091628 PECOS PAC ID: 3577457514 Enrollment ID: I20201113001271 |
| Provider Name | Tim G Adams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023096880 PECOS PAC ID: 8022199728 Enrollment ID: I20201221000353 |
| Provider Name | Dennis Allen Faith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770727216 PECOS PAC ID: 5193914950 Enrollment ID: I20210518001818 |
Bowman Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 608 Highway 12 W, Bowman, ND 58623 Phone: 701-523-3271 Fax: 701-523-5593 | |
Bachmeier Chiropractic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 108 N Main St, Bowman, ND 58623 Phone: 701-523-7454 Fax: 701-523-7455 | |
Southwest Medical Clinic Rhc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 802 2nd St Nw, Bowman, ND 58623 Phone: 701-523-5555 Fax: 701-523-7107 |