Transitions Healthcare | |
2401 46th Ave Se Ste 201 Mandan ND 58554-4829 | |
(701) 699-4052 | |
(701) 989-7030 |
Full Name | Transitions Healthcare |
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Speciality | Clinic/Center |
Location | 2401 46th Ave Se Ste 201, Mandan, North Dakota |
Authorized Official Name and Position | Stephanie Macdonald (PRESIDENT) |
Authorized Official Contact | 7016994052 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Transitions Healthcare 2401 46th Ave Se Ste 201 Mandan ND 58554-4829 Ph: (701) 699-4052 | Transitions Healthcare 2401 46th Ave Se Ste 201 Mandan ND 58554-4829 Ph: (701) 699-4052 |
NPI Number | 1992304695 |
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Provider Enumeration Date | 10/22/2020 |
Last Update Date | 09/12/2022 |
Medicare PECOS PAC ID | 1153736160 |
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Medicare Enrollment ID | O20210224000705 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992304695 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
Provider Name | Lori Jill Charbonneau |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1700074341 PECOS PAC ID: 8325135932 Enrollment ID: I20071030000102 |
Provider Name | Stephanie J Macdonald |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861864415 PECOS PAC ID: 4880994854 Enrollment ID: I20151123001977 |
Provider Name | Amanda Kouba |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1528577814 PECOS PAC ID: 1153689666 Enrollment ID: I20171211000554 |
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