| Jacobson Memorial Hospital Care Center | |
|
215 3rd Ave W Richardton ND 58652-7109 | |
| (701) 974-3372 | |
| (701) 584-2397 |
| Full Name | Jacobson Memorial Hospital Care Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 215 3rd Ave W, Richardton, North Dakota |
| Authorized Official Name and Position | Theo Stoller (CEO) |
| Authorized Official Contact | 7015842792 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jacobson Memorial Hospital Care Center Po Box 367 Elgin ND 58533 Ph: (701) 584-2792 | Jacobson Memorial Hospital Care Center 215 3rd Ave W Richardton ND 58652-7109 Ph: (701) 974-3372 |
| NPI Number | 1043649486 |
|---|---|
| Provider Enumeration Date | 11/06/2013 |
| Last Update Date | 11/12/2019 |
| Medicare PECOS PAC ID | 2466363981 |
|---|---|
| Medicare Enrollment ID | O20190513002701 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043649486 | NPI | - | NPPES |
| 1452461 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (North Dakota) | Primary |
Hoff Chiropractic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 North Avenue West, Richardton, ND 58652 Phone: 701-323-9900 Fax: 701-323-9911 |