| Four Seasons Wellness, Pllc | |
|
110 W Broadway Steele ND 58482-7109 | |
| (701) 475-4488 | |
| (701) 540-6379 |
| Full Name | Four Seasons Wellness, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 110 W Broadway, Steele, North Dakota |
| Authorized Official Name and Position | Mandy Kaye Rath (FAMILY NURSE PRACTITIONER) |
| Authorized Official Contact | 7014754488 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Four Seasons Wellness, Pllc 110 W Broadway Po Box 397 Steele ND 58482-7109 Ph: (701) 475-4488 | Four Seasons Wellness, Pllc 110 W Broadway Steele ND 58482-7109 Ph: (701) 475-4488 |
| NPI Number | 1366992323 |
|---|---|
| Provider Enumeration Date | 10/13/2016 |
| Last Update Date | 02/01/2017 |
| Medicare PECOS PAC ID | 6002199833 |
|---|---|
| Medicare Enrollment ID | O20170201002255 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366992323 | NPI | - | NPPES |
| 1386964138 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | R28545 (North Dakota) | Primary |
| Provider Name | Mandy K Rath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386964138 PECOS PAC ID: 8426173238 Enrollment ID: I20100916001272 |
| Provider Name | Erin Lynn Dewitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962139287 PECOS PAC ID: 2264802438 Enrollment ID: I20230104001027 |
Kidder County District Health Unit Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 422 2nd Ave Nw, Steele, ND 58482 Phone: 701-475-2582 Fax: 701-475-2652 | |
Kidder County Community Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 W Broadway, Steele, ND 58482 Phone: 701-475-2910 Fax: 701-475-2815 |