| Rolla Clinic, P.c. | |
|
114 3rd St Ne Rolla ND 58367-7137 | |
| (701) 477-3111 | |
| (701) 477-6342 |
| Full Name | Rolla Clinic, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 114 3rd St Ne, Rolla, North Dakota |
| Authorized Official Name and Position | June A Banse (ADMINISTRATOR) |
| Authorized Official Contact | 7014773111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rolla Clinic, P.c. Po Box 699 114 Ne 3rd St Rolla ND 58367-7137 Ph: (701) 477-3111 | Rolla Clinic, P.c. 114 3rd St Ne Rolla ND 58367-7137 Ph: (701) 477-3111 |
| NPI Number | 1215948435 |
|---|---|
| Provider Enumeration Date | 08/11/2006 |
| Last Update Date | 04/21/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215948435 | NPI | - | NPPES |
| 05018 | Medicaid | ND | |
| 10151 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 9041 (North Dakota) | Primary |
Northland Health Centers Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 114 3rd St Ne, Rolla, ND 58367 Phone: 701-477-3111 Fax: 701-477-6342 | |
Presentation Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 213 2nd Ave Ne, Rolla, ND 58367 Phone: 701-477-3161 Fax: 701-477-5564 | |
Rolla Eye Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 118 3rd St. Ne, Rolla, ND 58367 Phone: 701-477-5656 Fax: 701-477-5675 | |
Presentation Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 213 2nd Ave Ne, Rolla, ND 58367 Phone: 701-477-3161 Fax: 701-477-5564 |