| Tioga Medical Center-ray Rhc | |
|
Ray Mini Mall Railroad Ave Ray ND 58849 | |
| (701) 568-3624 | |
| Not Available |
| Full Name | Tioga Medical Center-ray Rhc |
|---|---|
| Speciality | Clinic/Center |
| Location | Ray Mini Mall, Ray, North Dakota |
| Authorized Official Name and Position | Randall K. Pederson (PRESIDENT/CEO) |
| Authorized Official Contact | 7016643305 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tioga Medical Center-ray Rhc Po Box 159 Tioga ND 58852-0159 Ph: (701) 664-3305 | Tioga Medical Center-ray Rhc Ray Mini Mall Railroad Ave Ray ND 58849 Ph: (701) 568-3624 |
| NPI Number | 1013981893 |
|---|---|
| Provider Enumeration Date | 02/16/2006 |
| Last Update Date | 09/09/2008 |
| Medicare PECOS PAC ID | 1254390305 |
|---|---|
| Medicare Enrollment ID | O20050706000079 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013981893 | NPI | - | NPPES |
| 5024 | Medicaid | ND | |
| 8557 | Other | ND | BCBSND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Community Chiropractic Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Ray Mall, Ray, ND 58849 Phone: 701-568-6824 | |
Northland Health Centers Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 24 Railroad Ave Ste 16, Ray, ND 58849 Phone: 701-000-0000 |