| Nelson County Health System | |
|
108 North Main Street Mcville ND 58254-0307 | |
| (701) 322-4347 | |
| (701) 322-2244 |
| Full Name | Nelson County Health System |
|---|---|
| Speciality | Clinic/Center |
| Location | 108 North Main Street, Mcville, North Dakota |
| Authorized Official Name and Position | Bruce D Bowersox (ADMINISTRATOR) |
| Authorized Official Contact | 7013224328 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nelson County Health System Po Box 307 Mcville ND 58254-0307 Ph: (701) 322-4347 | Nelson County Health System 108 North Main Street Mcville ND 58254-0307 Ph: (701) 322-4347 |
| NPI Number | 1578624136 |
|---|---|
| Provider Enumeration Date | 12/13/2006 |
| Last Update Date | 05/07/2014 |
| Medicare PECOS PAC ID | 5597658104 |
|---|---|
| Medicare Enrollment ID | O20040206000390 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578624136 | NPI | - | NPPES |
| 016279 | Medicaid | ND | |
| 005005 | Medicaid | ND | |
| 004572 | Other | ND | RURAL HEALTH CLINIC |
| 301001 | Other | ND | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (North Dakota) | Primary |
| Provider Name | Tamarack R Czarnik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639113749 PECOS PAC ID: 7113824657 Enrollment ID: I20031215000216 |
| Provider Name | Jonathon H Berg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073513982 PECOS PAC ID: 3173506904 Enrollment ID: I20040611000275 |
| Provider Name | Erling D Martinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558401554 PECOS PAC ID: 8729015508 Enrollment ID: I20050722000865 |
| Provider Name | Beverly A Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801024294 PECOS PAC ID: 1052451366 Enrollment ID: I20091217000502 |
| Provider Name | Darlene C Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114058468 PECOS PAC ID: 6507039799 Enrollment ID: I20111103000650 |
| Provider Name | Dori Renae Garrett Baesler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477115095 PECOS PAC ID: 9739419862 Enrollment ID: I20191002002352 |
| Provider Name | Michael L Hammer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730813130 PECOS PAC ID: 9032593140 Enrollment ID: I20220908000934 |
| Provider Name | Stephanie Lea Slivnik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952060204 PECOS PAC ID: 1557800075 Enrollment ID: I20240828004129 |
Nelson County Health System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 N Main St, Mcville, ND 58254 Phone: 701-322-4328 Fax: 701-322-2250 |