| Bismarck-burleigh Public Health | |
|
500 E Front Ave Bismarck ND 58504-5689 | |
| (701) 355-1540 | |
| (701) 221-6883 |
| Full Name | Bismarck-burleigh Public Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 500 E Front Ave, Bismarck, North Dakota |
| Authorized Official Name and Position | Renae Moch (DIRECTOR) |
| Authorized Official Contact | 7013551540 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bismarck-burleigh Public Health 500 E Front Ave Bismarck ND 58504-5689 Ph: (701) 355-1540 | Bismarck-burleigh Public Health 500 E Front Ave Bismarck ND 58504-5689 Ph: (701) 355-1540 |
| NPI Number | 1174599070 |
|---|---|
| Provider Enumeration Date | 02/28/2006 |
| Last Update Date | 12/01/2016 |
| Medicare PECOS PAC ID | 3375514649 |
|---|---|
| Medicare Enrollment ID | O20080328000218 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174599070 | NPI | - | NPPES |
| 1457628 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0905X | Clinic/center - Public Health, State Or Local | (* (Not Available)) | Primary |
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