| Mountrail County Medical Center, Inc. | |
|
615 6th St Se Stanley ND 58784-4444 | |
| (701) 628-2505 | |
| (701) 628-3990 |
| Full Name | Mountrail County Medical Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 615 6th St Se, Stanley, North Dakota |
| Authorized Official Name and Position | Stephanie Everett (CEO) |
| Authorized Official Contact | 7016288603 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountrail County Medical Center, Inc. Po Box 399 Stanley ND 58784-0399 Ph: (701) 628-8602 | Mountrail County Medical Center, Inc. 615 6th St Se Stanley ND 58784-4444 Ph: (701) 628-2505 |
| NPI Number | 1831289362 |
|---|---|
| Provider Enumeration Date | 10/13/2006 |
| Last Update Date | 11/25/2025 |
| Medicare PECOS PAC ID | 9739088931 |
|---|---|
| Medicare Enrollment ID | O20040107000468 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831289362 | NPI | - | NPPES |
| 12830 | Medicaid | ND | |
| 05057 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Ann M Welch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962577411 PECOS PAC ID: 1759337967 Enrollment ID: I20051007000847 |
| Provider Name | Tammie M Braaflat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447423538 PECOS PAC ID: 7911068770 Enrollment ID: I20081211000538 |
| Provider Name | Tara M Nardacci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972734499 PECOS PAC ID: 7214077148 Enrollment ID: I20101020000472 |
| Provider Name | Mark K Longmuir |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1326278912 PECOS PAC ID: 0143470229 Enrollment ID: I20121025000809 |
| Provider Name | Brittany Haugtvedt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942749247 PECOS PAC ID: 0840561015 Enrollment ID: I20170807000889 |
| Provider Name | Tara L Schaefer-nygaard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801263884 PECOS PAC ID: 7416384904 Enrollment ID: I20200221002241 |
| Provider Name | William Logan Bender |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922091628 PECOS PAC ID: 3577457514 Enrollment ID: I20201113001271 |
| Provider Name | Jessica Larae Charon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710583885 PECOS PAC ID: 5092128033 Enrollment ID: I20210111002934 |
| Provider Name | Carol Elaine Hynek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750164042 PECOS PAC ID: 5395190532 Enrollment ID: I20231009001904 |
| Provider Name | Rosalyn Marie Geier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538823794 PECOS PAC ID: 7012302235 Enrollment ID: I20231229000415 |
Mountrail County Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 615 6th St Se, Stanley, ND 58784 Phone: 701-628-3990 |