| Kenmare Health Center | |
|
307 1st Ave Nw Kenmare ND 58746-7104 | |
| (701) 385-4283 | |
| (701) 385-4282 |
| Full Name | Kenmare Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 307 1st Ave Nw, Kenmare, North Dakota |
| Authorized Official Name and Position | John Kutch (CEO) |
| Authorized Official Contact | 7018575000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenmare Health Center Po Box 5020 Minot ND 58702-5020 Ph: (701) 857-5118 | Kenmare Health Center 307 1st Ave Nw Kenmare ND 58746-7104 Ph: (701) 385-4283 |
| NPI Number | 1649226671 |
|---|---|
| Provider Enumeration Date | 05/25/2006 |
| Last Update Date | 02/07/2023 |
| Medicare PECOS PAC ID | 9931018777 |
|---|---|
| Medicare Enrollment ID | O20030423000038 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649226671 | NPI | - | NPPES |
| 05148 | Medicaid | ND | |
| 13047 | Medicaid | ND | |
| 1460650 | Medicaid | ND | |
| 1460641 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
Compass Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 1st Ave Se, Kenmare, ND 58746 Phone: 701-226-0926 |