| Northern Neurosurgery And Spine Plc | |
|
350 23rd Ave E Ste 102 West Fargo ND 58078-7401 | |
| (701) 356-7444 | |
| (855) 453-4956 |
| Full Name | Northern Neurosurgery And Spine Plc |
|---|---|
| Speciality | Clinic/Center |
| Location | 350 23rd Ave E Ste 102, West Fargo, North Dakota |
| Authorized Official Name and Position | Steven Jared Broadway (OWNER) |
| Authorized Official Contact | 7013567444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Neurosurgery And Spine Plc 350 23rd Ave E Ste 102 West Fargo ND 58078-7401 Ph: (701) 356-7444 | Northern Neurosurgery And Spine Plc 350 23rd Ave E Ste 102 West Fargo ND 58078-7401 Ph: (701) 356-7444 |
| NPI Number | 1386281475 |
|---|---|
| Provider Enumeration Date | 12/08/2019 |
| Last Update Date | 01/11/2024 |
| Medicare PECOS PAC ID | 4082040076 |
|---|---|
| Medicare Enrollment ID | O20200211002329 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386281475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Steven Jared Broadway |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1457551228 PECOS PAC ID: 7810166923 Enrollment ID: I20200106001544 |
Tracie M Mallberg Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 550 13th Ave E, West Fargo, ND 58078 Phone: 701-356-5459 Fax: 701-356-3764 | |
Clinic Fhsc Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1207 Prairie Pkwy, West Fargo, ND 58078 Phone: 701-492-0696 | |
Terry N Braun Counseling Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1042 14th Ave E Ste 210, West Fargo, ND 58078 Phone: 701-799-6258 | |
Dakota Clinic, Ltd. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 13th Ave E, West Fargo, ND 58078 Phone: 701-364-5751 Fax: 701-364-5750 | |
North Dakota Center For Weight Management, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 320 32nd Ave W Ste 285, West Fargo, ND 58078 Phone: 701-807-0684 Fax: 833-605-4039 | |
Innovis Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 13th Ave E, West Fargo, ND 58078 Phone: 701-364-5751 Fax: 701-364-5750 |