| Park River Family Clinic | |
|
503 Park St W Ste B Park River ND 58270-4138 | |
| (701) 284-6663 | |
| (701) 284-6923 |
| Full Name | Park River Family Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 503 Park St W Ste B, Park River, North Dakota |
| Authorized Official Name and Position | Darla M Hanson (SUPERVISOR) |
| Authorized Official Contact | 7013521620 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Park River Family Clinic 164 W 13th St Grafton ND 58237-1826 Ph: (701) 352-1620 | Park River Family Clinic 503 Park St W Ste B Park River ND 58270-4138 Ph: (701) 284-6663 |
| NPI Number | 1821637828 |
|---|---|
| Provider Enumeration Date | 12/23/2019 |
| Last Update Date | 07/09/2020 |
| Medicare PECOS PAC ID | 8123925401 |
|---|---|
| Medicare Enrollment ID | O20200817003106 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821637828 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
First Care Rhc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 115 Vivian St., Park River, ND 58270 Phone: 701-284-7555 Fax: 701-284-4605 |