| Sakakawea Clinic | |
|
510 8th Ave Ne Hazen ND 58545-4637 | |
| (701) 748-2225 | |
| (701) 639-4343 |
| Full Name | Sakakawea Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 510 8th Ave Ne, Hazen, North Dakota |
| Authorized Official Name and Position | Kurt Waldbillig (CEO) |
| Authorized Official Contact | 7017482225 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sakakawea Clinic 510 8th Ave Ne Hazen ND 58545-4637 Ph: (701) 748-2225 | Sakakawea Clinic 510 8th Ave Ne Hazen ND 58545-4637 Ph: (701) 748-2225 |
| NPI Number | 1356315220 |
|---|---|
| Provider Enumeration Date | 02/15/2006 |
| Last Update Date | 03/25/2024 |
| Medicare PECOS PAC ID | 3779558366 |
|---|---|
| Medicare Enrollment ID | O20040827000450 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356315220 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5024A (North Dakota) | Primary |
| Provider Name | Edward Fogarty |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902826340 PECOS PAC ID: 7012814643 Enrollment ID: I20031212000714 |
| Provider Name | Thomas D Kaspari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528046000 PECOS PAC ID: 4688571110 Enrollment ID: I20031215000205 |
| Provider Name | Jacinta-jon T Klindworth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205814787 PECOS PAC ID: 1355248618 Enrollment ID: I20031215000843 |
| Provider Name | Rodney Leon Zimmerman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417149279 PECOS PAC ID: 9739088907 Enrollment ID: I20040107000295 |
| Provider Name | Michael L Schmit |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740224260 PECOS PAC ID: 9436145547 Enrollment ID: I20040423000473 |
| Provider Name | Robert J Volk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932140050 PECOS PAC ID: 0143220905 Enrollment ID: I20070102000220 |
| Provider Name | Jonathan P Ahneman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982757449 PECOS PAC ID: 2668563479 Enrollment ID: I20070808000716 |
| Provider Name | Sherri K Doll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700930054 PECOS PAC ID: 4284761321 Enrollment ID: I20100422000291 |
| Provider Name | Heather Ann Czywczynski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285920587 PECOS PAC ID: 1456529833 Enrollment ID: I20110801000111 |
| Provider Name | Kimberley Myklebust |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881980894 PECOS PAC ID: 3971775404 Enrollment ID: I20111005000817 |
| Provider Name | Debra L Sailer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447548623 PECOS PAC ID: 7113199068 Enrollment ID: I20111018000867 |
| Provider Name | Carl Miller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902227283 PECOS PAC ID: 5294968822 Enrollment ID: I20140505002262 |
| Provider Name | Michelle J Placke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942648878 PECOS PAC ID: 8426278631 Enrollment ID: I20150729010066 |
| Provider Name | Cassandra Altringer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205283090 PECOS PAC ID: 8426344268 Enrollment ID: I20160906000474 |
| Provider Name | Courtney Dean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295258507 PECOS PAC ID: 8921370594 Enrollment ID: I20170816002270 |
| Provider Name | Kelsey Leigh Striefel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114405230 PECOS PAC ID: 1557606266 Enrollment ID: I20181228001303 |
| Provider Name | Abbey Marie Pelton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316564115 PECOS PAC ID: 4183048440 Enrollment ID: I20200720001413 |
| Provider Name | Kelsey Ann Wiseman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770072837 PECOS PAC ID: 1456756881 Enrollment ID: I20210824002093 |
| Provider Name | Ann O Ruffo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093249195 PECOS PAC ID: 7810225653 Enrollment ID: I20220727001690 |
Sakakawea Hazen Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 517 8th Ave Ne, Hazen, ND 58545 Phone: 701-748-2256 Fax: 701-748-2257 | |
Surge Fitness Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Highway Dr, Hazen, ND 58545 Phone: 701-748-3334 | |
Coal Country Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 510 8th Ave Nw, Hazen, ND 58545 Phone: 701-748-2257 Fax: 701-749-2257 |