| Pyramid Health, Llc | |
|
516 Main St Bottineau ND 58318-1203 | |
| (701) 534-0109 | |
| (866) 640-0723 |
| Full Name | Pyramid Health, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 516 Main St, Bottineau, North Dakota |
| Authorized Official Name and Position | Amy Koivula (OFFICE MANAGER) |
| Authorized Official Contact | 7015340109 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pyramid Health, Llc Po Box 419 Bottineau ND 58318-0401 Ph: () - | Pyramid Health, Llc 516 Main St Bottineau ND 58318-1203 Ph: (701) 534-0109 |
| NPI Number | 1992269161 |
|---|---|
| Provider Enumeration Date | 01/22/2019 |
| Last Update Date | 03/18/2022 |
| Medicare PECOS PAC ID | 0941543797 |
|---|---|
| Medicare Enrollment ID | O20190517000381 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992269161 | NPI | - | NPPES |
| 1477108 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Mark Koivula |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265660740 PECOS PAC ID: 7315092871 Enrollment ID: I20090904000234 |
| Provider Name | Brenda L Marquardt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831196732 PECOS PAC ID: 4880723030 Enrollment ID: I20100526000306 |
Block Chiropractic & Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 512 Main Street, Bottineau, ND 58318 Phone: 701-228-6924 | |
St. Andrew's Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 314 Ohmer St, Bottineau, ND 58318 Phone: 701-228-9400 | |
Chiropractic Arts Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 909 11th St E, Bottineau, ND 58318 Phone: 701-228-2275 Fax: 701-228-3080 | |
St. Andrew's Bottineau Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 314 Ohmer St, Bottineau, ND 58318 Phone: 701-228-9400 Fax: 701-228-3245 |