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331 4th Ave E Trenton ND 58853-9998 | |
(701) 774-0461 | |
(701) 774-8003 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 331 4th Ave E, Trenton, North Dakota |
Authorized Official Name and Position | Melissa R Lee (BUSINESS OFFICE MANAGER) |
Authorized Official Contact | 7017740461 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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331 4th Ave E Trenton ND 58853-9998 Ph: (701) 774-0461 | 331 4th Ave E Trenton ND 58853-9998 Ph: (701) 774-0461 |
NPI Number | 1912387630 |
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Provider Enumeration Date | 06/08/2015 |
Last Update Date | 06/08/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912387630 | NPI | - | NPPES |
1312 | Medicaid | ND |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |