| Northland Health Centers | |
|
1600 2nd Ave Sw Ste 19 Minot ND 58701 | |
| (701) 448-2054 | |
| (701) 448-2056 |
| Full Name | Northland Health Centers |
|---|---|
| Speciality | Clinic/Center |
| Location | 1600 2nd Ave Sw Ste 19, Minot, North Dakota |
| Authorized Official Name and Position | Rachel Thomas (CFO) |
| Authorized Official Contact | 7014482054 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northland Health Centers Po Box 535 Turtle Lake ND 58575-0535 Ph: (701) 448-2054 | Northland Health Centers 1600 2nd Ave Sw Ste 19 Minot ND 58701 Ph: (701) 448-2054 |
| NPI Number | 1588906770 |
|---|---|
| Provider Enumeration Date | 03/26/2013 |
| Last Update Date | 02/18/2021 |
| Medicare PECOS PAC ID | 1557270113 |
|---|---|
| Medicare Enrollment ID | O20140204000565 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588906770 | NPI | - | NPPES |
| 5923 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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