Heart Of America Johnson Clinic -maddock is a medicare enrolled primary clinic (Family Medicine) in Maddock, North Dakota. The current practice location for Heart Of America Johnson Clinic -maddock is 301 Roosevelt Ave, Maddock, North Dakota. For appointments, you can reach them via phone at
(701) 438-2555. The mailing address for Heart Of America Johnson Clinic -maddock is 800 S Main Ave, Rugby, North Dakota and phone number is (701) 776-5261.
Heart Of America Johnson Clinic -maddock is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1740451038. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(701) 438-2555.
Primary Care Clinic Profile
| Full Name | Heart Of America Johnson Clinic -maddock |
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| Speciality | Family Medicine |
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| Location | 301 Roosevelt Ave, Maddock, North Dakota |
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| Authorized Official Name and Position | Erik T Christenson (CEO) |
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| Authorized Official Contact | 7017765261 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Heart Of America Johnson Clinic -maddock
800 S Main Ave
Rugby
ND 58368-2118
Ph: (701) 776-5261 | Heart Of America Johnson Clinic -maddock
301 Roosevelt Ave
Maddock
ND 58348-7138
Ph: (701) 438-2555 |
NPI Details:
| NPI Number | 1740451038 |
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| Provider Enumeration Date | 03/14/2008 |
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| Last Update Date | 04/16/2020 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 6002716701 |
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| Medicare Enrollment ID | O20101109001056 |
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Medical Identifiers
Medical identifiers for Heart Of America Johnson Clinic -maddock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1740451038 | NPI | - | NPPES |
| 1457113 | Medicaid | ND | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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