Towner County Medical Center | |
228 1st Ave Cando ND 58324-7500 | |
(701) 698-2541 | |
Not Available |
Full Name | Towner County Medical Center |
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Speciality | Clinic/Center |
Location | 228 1st Ave, Cando, North Dakota |
Authorized Official Name and Position | Tammy L Larson (CFO) |
Authorized Official Contact | 7019682560 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Towner County Medical Center Po Box 688 Cando ND 58324-0688 Ph: (701) 968-2556 | Towner County Medical Center 228 1st Ave Cando ND 58324-7500 Ph: (701) 698-2541 |
NPI Number | 1124041389 |
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Provider Enumeration Date | 07/26/2006 |
Last Update Date | 07/30/2024 |
Medicare PECOS PAC ID | 6800798497 |
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Medicare Enrollment ID | O20040123000581 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124041389 | NPI | - | NPPES |
16119 | Medicaid | ND | |
574105000 | Medicaid | MN | |
398004 | Other | ND | BCBS PROVIDER # |
5052 | Medicaid | ND | |
398001 | Other | ND | BCBS PROVIDER # |
8193 | Other | ND | BCBS PROVIDER # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Provider Name | William F Wosick |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1700808375 PECOS PAC ID: 1254228679 Enrollment ID: I20040301001239 |
Provider Name | Paul D Ellenbecker |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1679508089 PECOS PAC ID: 3375526551 Enrollment ID: I20040609000704 |
Provider Name | Mark G Peterson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1134182355 PECOS PAC ID: 7214979616 Enrollment ID: I20050525001101 |
Provider Name | Timothy Aaron Peterson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1134211568 PECOS PAC ID: 9739197567 Enrollment ID: I20060405000101 |
Provider Name | Jeffrey S Phelan |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1497734123 PECOS PAC ID: 1254245954 Enrollment ID: I20060411000154 |
Provider Name | Lee A Ellingson |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1871511410 PECOS PAC ID: 5496642084 Enrollment ID: I20080226000804 |
Provider Name | Kayla J Mitchell |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1912158999 PECOS PAC ID: 1153489596 Enrollment ID: I20081029000199 |
Provider Name | Jessica J Larson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083901490 PECOS PAC ID: 2163693342 Enrollment ID: I20110920000174 |
Provider Name | Anil Potti |
---|---|
Provider Type | Practitioner - Hematology/oncology |
Provider Identifiers | NPI Number: 1427122266 PECOS PAC ID: 5597869461 Enrollment ID: I20120618000693 |
Provider Name | Samuel P Held |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740575000 PECOS PAC ID: 4880840750 Enrollment ID: I20120808000524 |
Provider Name | Ben J Bucher |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114282936 PECOS PAC ID: 7416104088 Enrollment ID: I20120904000762 |
Provider Name | Lucas B Ludeman |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1205080744 PECOS PAC ID: 2668537069 Enrollment ID: I20121203000117 |
Provider Name | Timothy P Overend |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1427345586 PECOS PAC ID: 4385959535 Enrollment ID: I20150817002016 |
Provider Name | Lana M Nicholas |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1144255985 PECOS PAC ID: 7416236138 Enrollment ID: I20161118002344 |
Provider Name | Cassandra M Ullyott |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245760461 PECOS PAC ID: 8527339019 Enrollment ID: I20170801003613 |