| Chirocenter One | |
|
2812 17th Ave S Ste C Grand Forks ND 58201-4048 | |
| (701) 775-0223 | |
| (701) 738-0655 |
| Full Name | Chirocenter One |
|---|---|
| Speciality | Clinic/Center |
| Location | 2812 17th Ave S Ste C, Grand Forks, North Dakota |
| Authorized Official Name and Position | Brian V Jongeward (OWNER DOCTOR) |
| Authorized Official Contact | 7017750223 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chirocenter One 2812 17th Ave S Ste C Grand Forks ND 58201-4048 Ph: (701) 775-0223 | Chirocenter One 2812 17th Ave S Ste C Grand Forks ND 58201-4048 Ph: (701) 775-0223 |
| NPI Number | 1407909120 |
|---|---|
| Provider Enumeration Date | 01/18/2007 |
| Last Update Date | 02/21/2008 |
| Medicare PECOS PAC ID | 4789653122 |
|---|---|
| Medicare Enrollment ID | O20041001000204 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407909120 | NPI | - | NPPES |
| 18728 | Medicaid | ND | |
| 1407909120 | Other | ND | CLINIC NPI |
| 1376620831 | Other | ND | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 611 (North Dakota) | Primary |
| Provider Name | Brian V Jongeward |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1376620831 PECOS PAC ID: 0042211310 Enrollment ID: I20120221001058 |
Spectra Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 212 S 4th St, Suite 301, Grand Forks, ND 58201 Phone: 701-757-2100 Fax: 701-757-0305 | |
The Aurora Cardiology Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1451 44th Ave S, Suite 112d, Grand Forks, ND 58201 Phone: 701-775-5800 Fax: 701-775-5200 | |
Meridian Behavioral Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1451 44th Ave S, Grand Forks, ND 58201 Phone: 701-772-2500 Fax: 701-757-1512 | |
Northern Valley Obstetrics & Gynecology, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2810 17th Ave S, Grand Forks, ND 58201 Phone: 701-738-2004 | |
Aurora Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2650 32nd Ave S Ste D, Grand Forks, ND 58201 Phone: 701-732-2700 Fax: 701-732-2701 | |
The Kidney And Hypertension Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1451 44th Ave S, Suite 112d, Grand Forks, ND 58201 Phone: 701-775-5800 Fax: 701-775-5200 | |
Midwest Gastroenterology Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-5000 |