| Minot Health Clinic | |
|
1021 20th Ave Sw Ste 113 Minot ND 58701-6487 | |
| (701) 837-1551 | |
| Not Available |
| Full Name | Minot Health Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1021 20th Ave Sw Ste 113, Minot, North Dakota |
| Authorized Official Name and Position | Trisha Fennern (OWNER/PRACTITIONER) |
| Authorized Official Contact | 7018371551 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Minot Health Clinic 1021 20th Ave Sw Ste 113 Minot ND 58701-6487 Ph: (701) 837-1551 | Minot Health Clinic 1021 20th Ave Sw Ste 113 Minot ND 58701-6487 Ph: (701) 837-1551 |
| NPI Number | 1477970846 |
|---|---|
| Provider Enumeration Date | 03/24/2014 |
| Last Update Date | 02/08/2021 |
| Medicare PECOS PAC ID | 0143449439 |
|---|---|
| Medicare Enrollment ID | O20140918001951 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477970846 | NPI | - | NPPES |
| 715283 | Other | ND | MEDICARE |
| 1013220490 | Other | ND | BCBS |
| 84015 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | R30827 (North Dakota) | Primary |
| Provider Name | April E Warren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982853776 PECOS PAC ID: 9436296993 Enrollment ID: I20091102000572 |
| Provider Name | Trisha Fennern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013220490 PECOS PAC ID: 1850584830 Enrollment ID: I20101022000298 |
| Provider Name | Chantel K Hillestad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043508526 PECOS PAC ID: 7618147752 Enrollment ID: I20110829000728 |
| Provider Name | Sandra J Storey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417364126 PECOS PAC ID: 9931328044 Enrollment ID: I20140922001558 |
| Provider Name | Kelli Lynn Pfaff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558701615 PECOS PAC ID: 9234363003 Enrollment ID: I20150126001859 |
| Provider Name | Brittany Haugtvedt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942749247 PECOS PAC ID: 0840561015 Enrollment ID: I20170807000889 |
| Provider Name | Tasha Lyn Leier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851074033 PECOS PAC ID: 0446606214 Enrollment ID: I20231031000789 |
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