| Central Dakota Family Physicians, Pc | |
|
922 Lincoln Ave Harvey ND 58341-1524 | |
| (701) 324-4856 | |
| (701) 324-4858 |
| Full Name | Central Dakota Family Physicians, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 922 Lincoln Ave, Harvey, North Dakota |
| Authorized Official Name and Position | Charles D Nyhus (OWNER) |
| Authorized Official Contact | 7013244856 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Dakota Family Physicians, Pc 922 Lincoln Ave Harvey ND 58341-1524 Ph: (701) 324-4856 | Central Dakota Family Physicians, Pc 922 Lincoln Ave Harvey ND 58341-1524 Ph: (701) 324-4856 |
| NPI Number | 1720156664 |
|---|---|
| Provider Enumeration Date | 11/30/2006 |
| Last Update Date | 12/11/2007 |
| Medicare PECOS PAC ID | 5698740165 |
|---|---|
| Medicare Enrollment ID | O20040827001108 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720156664 | NPI | - | NPPES |
| 10310 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Charles D Nyhus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700954633 PECOS PAC ID: 1254324270 Enrollment ID: I20040827001078 |
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