| Urgent Medicine Associates Llc | |
|
2829 University Dr S Ste 101 Fargo ND 58103-6050 | |
| (701) 232-9000 | |
| Not Available |
| Full Name | Urgent Medicine Associates Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2829 University Dr S, Fargo, North Dakota |
| Authorized Official Name and Position | Kurt Kooyer (PARTNER) |
| Authorized Official Contact | 7012329000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Urgent Medicine Associates Llc 2829 University Dr S Ste 101 Fargo ND 58103-6050 Ph: () - | Urgent Medicine Associates Llc 2829 University Dr S Ste 101 Fargo ND 58103-6050 Ph: (701) 232-9000 |
| NPI Number | 1154490399 |
|---|---|
| Provider Enumeration Date | 11/06/2006 |
| Last Update Date | 03/21/2014 |
| Medicare PECOS PAC ID | 9537156807 |
|---|---|
| Medicare Enrollment ID | O20040428000966 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154490399 | NPI | - | NPPES |
| 367119400 | Medicaid | MN | |
| 12969 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Philip S Sondreal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154337400 PECOS PAC ID: 8426045709 Enrollment ID: I20040429000341 |
| Provider Name | Kurt W Kooyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063456218 PECOS PAC ID: 4082601364 Enrollment ID: I20040510000001 |
| Provider Name | Janell K Kjos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063414084 PECOS PAC ID: 2365444155 Enrollment ID: I20070327000399 |
| Provider Name | Elizabeth Mehus-waller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083090112 PECOS PAC ID: 9739472226 Enrollment ID: I20160720002671 |
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