| Coal Country Community Health Center | |
|
1312 Highway 49 N Beulah ND 58523 | |
| (701) 873-4445 | |
| (701) 873-4199 |
| Full Name | Coal Country Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1312 Highway 49 N, Beulah, North Dakota |
| Authorized Official Name and Position | Darrold Bertsch (CEO) |
| Authorized Official Contact | 7018734445 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coal Country Community Health Center 1312 Highway 49 N Beulah ND 58523-6038 Ph: (701) 873-4445 | Coal Country Community Health Center 1312 Highway 49 N Beulah ND 58523 Ph: (701) 873-4445 |
| NPI Number | 1942288329 |
|---|---|
| Provider Enumeration Date | 01/05/2006 |
| Last Update Date | 06/15/2018 |
| Medicare PECOS PAC ID | 9436042892 |
|---|---|
| Medicare Enrollment ID | O20040317001173 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942288329 | NPI | - | NPPES |
| 05909 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Aaron M Garman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457339939 PECOS PAC ID: 0446156129 Enrollment ID: I20031211001076 |
| Provider Name | Thomas D Kaspari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528046000 PECOS PAC ID: 4688571110 Enrollment ID: I20031215000205 |
| Provider Name | Jacinta-jon T Klindworth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205814787 PECOS PAC ID: 1355248618 Enrollment ID: I20031215000843 |
| Provider Name | Rodney Leon Zimmerman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417149279 PECOS PAC ID: 9739088907 Enrollment ID: I20040107000295 |
| Provider Name | Thomas J Eick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972544708 PECOS PAC ID: 0941255434 Enrollment ID: I20050317000430 |
| Provider Name | Robert J Volk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932140050 PECOS PAC ID: 0143220905 Enrollment ID: I20070102000220 |
| Provider Name | Corrie L Rogness |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609078302 PECOS PAC ID: 4981798808 Enrollment ID: I20070921000467 |
| Provider Name | Debra L Sailer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447548623 PECOS PAC ID: 7113199068 Enrollment ID: I20111018000867 |
| Provider Name | Michelle J Placke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942648878 PECOS PAC ID: 8426278631 Enrollment ID: I20150729010066 |
| Provider Name | Cassandra Altringer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205283090 PECOS PAC ID: 8426344268 Enrollment ID: I20160906000474 |
| Provider Name | Kelsey Leigh Striefel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114405230 PECOS PAC ID: 1557606266 Enrollment ID: I20181228001303 |
| Provider Name | Abbey Marie Pelton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316564115 PECOS PAC ID: 4183048440 Enrollment ID: I20200720001413 |
| Provider Name | Kelsey Ann Wiseman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770072837 PECOS PAC ID: 1456756881 Enrollment ID: I20210824002093 |
| Provider Name | Ann O Ruffo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093249195 PECOS PAC ID: 7810225653 Enrollment ID: I20220727001690 |
| Provider Name | Talitha K Schnaidt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740556414 PECOS PAC ID: 6709220080 Enrollment ID: I20240214002042 |
| Provider Name | Isabel Lynn Garman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679292270 PECOS PAC ID: 8729512413 Enrollment ID: I20241118002830 |