| Aim Healthcare Providers North Dakota, Pc | |
|
2000 44th St S Ste 201&203 Fargo ND 58103-7411 | |
| (480) 494-2465 | |
| (480) 534-4087 |
| Full Name | Aim Healthcare Providers North Dakota, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 2000 44th St S Ste 201&203, Fargo, North Dakota |
| Authorized Official Name and Position | Kelly Karaniuk (CREDENTIALING DIRECTOR) |
| Authorized Official Contact | 4804942465 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aim Healthcare Providers North Dakota, Pc 161 E Rivulon Blvd Ste 210 Gilbert AZ 85297-0087 Ph: (480) 494-2465 | Aim Healthcare Providers North Dakota, Pc 2000 44th St S Ste 201&203 Fargo ND 58103-7411 Ph: (480) 494-2465 |
| NPI Number | 1982327961 |
|---|---|
| Provider Enumeration Date | 09/23/2022 |
| Last Update Date | 12/09/2024 |
| Medicare PECOS PAC ID | 6709313661 |
|---|---|
| Medicare Enrollment ID | O20241217002920 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982327961 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Amish Purohit |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053413286 PECOS PAC ID: 1355347170 Enrollment ID: I20241217002974 |
| Provider Name | Jessica Fichter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447643986 PECOS PAC ID: 5698087732 Enrollment ID: I20250115003446 |
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