| Northwest Dakota Management Llc | |
|
1002 18th Avenue Se Minot ND 58701 | |
| (951) 736-0137 | |
| Not Available |
| Full Name | Northwest Dakota Management Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1002 18th Avenue Se, Minot, North Dakota |
| Authorized Official Name and Position | Suzanne Hawthorn (COORDINATOR) |
| Authorized Official Contact | 9517360137 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Dakota Management Llc 2370 Anselmo Dr Corona CA 92879-7106 Ph: (951) 736-0137 | Northwest Dakota Management Llc 1002 18th Avenue Se Minot ND 58701 Ph: (951) 736-0137 |
| NPI Number | 1669216974 |
|---|---|
| Provider Enumeration Date | 06/21/2024 |
| Last Update Date | 10/11/2024 |
| Medicare PECOS PAC ID | 3678008331 |
|---|---|
| Medicare Enrollment ID | O20241119001636 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669216974 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Blendi Cumani |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164744942 PECOS PAC ID: 7315126984 Enrollment ID: I20121121000279 |
| Provider Name | Aaron J Albers |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1295044212 PECOS PAC ID: 1951543487 Enrollment ID: I20130813000910 |
| Provider Name | Gillian E Lavik |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659690618 PECOS PAC ID: 2668603747 Enrollment ID: I20150930001711 |
| Provider Name | Daniel K Lee |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679891535 PECOS PAC ID: 5991960288 Enrollment ID: I20180216002281 |
Mckenzie County Healthcare Systems Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1002 18th Ave Se, Minot, ND 58701 Phone: 701-857-6010 Fax: 701-842-4025 | |
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Spine And Sport Chiropractic Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 700 Western Ave, Suite 200, Minot, ND 58701 Phone: 701-838-2121 | |
University Of North Dakota Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1201 11th Ave Sw, Minot, ND 58701 Phone: 701-858-6700 Fax: 701-858-6749 | |
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Ideal Option, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3520 N Broadway, Minot, ND 58703 Phone: 877-522-1275 Fax: 509-491-3031 |