| Cooperstown Medical Center | |
|
107 13th St N New Rockford ND 58356-1518 | |
| (701) 786-1709 | |
| (701) 786-7121 |
| Full Name | Cooperstown Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 107 13th St N, New Rockford, North Dakota |
| Authorized Official Name and Position | Kelley Shawn (ADMIN ASSIST/CREDENTIALING) |
| Authorized Official Contact | 7017861709 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cooperstown Medical Center 107 12th St S Cooperstown ND 58425-4501 Ph: (701) 786-1709 | Cooperstown Medical Center 107 13th St N New Rockford ND 58356-1518 Ph: (701) 786-1709 |
| NPI Number | 1992459721 |
|---|---|
| Provider Enumeration Date | 02/10/2022 |
| Last Update Date | 08/30/2023 |
| Medicare PECOS PAC ID | 5698687689 |
|---|---|
| Medicare Enrollment ID | O20220309002595 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992459721 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Carrington Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 118 1st St S, New Rockford, ND 58356 Phone: 701-947-2021 Fax: 701-947-2021 | |
East Central Center For Exceptional Children Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16 S 8th St, New Rockford, ND 58356 Phone: 701-947-5015 |