| Heart Of America Johnson Clinic | |
|
800 S Main Ave Rugby ND 58368-2118 | |
| (701) 776-5261 | |
| (701) 776-5448 |
| Full Name | Heart Of America Johnson Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 800 S Main Ave, Rugby, North Dakota |
| Authorized Official Name and Position | Erik T Christenson (CEO) |
| Authorized Official Contact | 7017765261 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heart Of America Johnson Clinic 800 S Main Ave Rugby ND 58368-2118 Ph: (701) 776-5261 | Heart Of America Johnson Clinic 800 S Main Ave Rugby ND 58368-2118 Ph: (701) 776-5261 |
| NPI Number | 1578734869 |
|---|---|
| Provider Enumeration Date | 03/14/2008 |
| Last Update Date | 04/16/2020 |
| Medicare PECOS PAC ID | 6002716701 |
|---|---|
| Medicare Enrollment ID | O20101109000476 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578734869 | NPI | - | NPPES |
| 1457110 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Heart Of America Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 S Main Ave, Rugby, ND 58368 Phone: 701-776-5455 | |
Johnson Clinic Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 3rd Avenue Southwest, Rugby, ND 58368 Phone: 701-776-5235 Fax: 701-776-5297 |