| Bakken Occupational Health Pc | |
|
3410 4th Ave W Ste 2000 Williston ND 58801-3844 | |
| (701) 355-6633 | |
| (701) 354-4865 |
| Full Name | Bakken Occupational Health Pc |
|---|---|
| Speciality | Specialist |
| Location | 3410 4th Ave W Ste 2000, Williston, North Dakota |
| Authorized Official Name and Position | Heather Turner (MANAGER) |
| Authorized Official Contact | 7013556633 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bakken Occupational Health Pc Po Box 1065 Lowell AR 72745-1065 Ph: (479) 725-3044 | Bakken Occupational Health Pc 3410 4th Ave W Ste 2000 Williston ND 58801-3844 Ph: (701) 355-6633 |
| NPI Number | 1457863185 |
|---|---|
| Provider Enumeration Date | 11/03/2017 |
| Last Update Date | 12/12/2023 |
| Medicare PECOS PAC ID | 0042614588 |
|---|---|
| Medicare Enrollment ID | O20210805003017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457863185 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 14678 (North Dakota) | Secondary |
| 174400000X | Specialist | 14678 (North Dakota) | Primary |
| Provider Name | Alexis Barten |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104030915 PECOS PAC ID: 4284729955 Enrollment ID: I20210806001102 |
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