| Rolla Eye Clinic | |
|
118 3rd St. Ne Rolla ND 58367-1170 | |
| (701) 477-5656 | |
| (701) 477-5675 |
| Full Name | Rolla Eye Clinic |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 118 3rd St. Ne, Rolla, North Dakota |
| Authorized Official Name and Position | Joseph Alan Thorman (DOCTOR/OWNER) |
| Authorized Official Contact | 7014775656 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rolla Eye Clinic Po Box 1170 Rolla ND 58367-1170 Ph: (701) 477-5656 | Rolla Eye Clinic 118 3rd St. Ne Rolla ND 58367-1170 Ph: (701) 477-5656 |
| NPI Number | 1700064599 |
|---|---|
| Provider Enumeration Date | 02/05/2008 |
| Last Update Date | 03/04/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700064599 | NPI | - | NPPES |
| B48107221235 | Other | ND | PREFERRED |
| THO13533 | Other | ND | BCBS |
| 410048131 | Other | ND | MEDICARE RAIL ROAD |
| 60650 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 540 (North Dakota) | Primary |
Rolla Clinic, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 114 3rd St Ne, Rolla, ND 58367 Phone: 701-477-3111 Fax: 701-477-6342 | |
Northland Health Partners Community Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare 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 | |
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 |