| Stellar Healthcare, Ltd | |
|
3274 51st St S Fargo ND 58104-7179 | |
| (701) 364-3660 | |
| (701) 364-3661 |
| Full Name | Stellar Healthcare, Ltd |
|---|---|
| Speciality | Clinic/Center |
| Location | 3274 51st St S, Fargo, North Dakota |
| Authorized Official Name and Position | Melissa R Erdmann (NURSE PRACTITIONER) |
| Authorized Official Contact | 7013643660 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stellar Healthcare, Ltd 3274 51st St S Fargo ND 58104-7179 Ph: (701) 364-3660 | Stellar Healthcare, Ltd 3274 51st St S Fargo ND 58104-7179 Ph: (701) 364-3660 |
| NPI Number | 1760781033 |
|---|---|
| Provider Enumeration Date | 03/25/2011 |
| Last Update Date | 05/11/2021 |
| Medicare PECOS PAC ID | 6406031129 |
|---|---|
| Medicare Enrollment ID | O20110425000011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760781033 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Melissa Erdmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992727481 PECOS PAC ID: 5799741849 Enrollment ID: I20050208000638 |
| Provider Name | Sarah M Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780832634 PECOS PAC ID: 7315015955 Enrollment ID: I20081008000804 |
| Provider Name | Jaeda Kerin Ertelt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063062693 PECOS PAC ID: 7113259458 Enrollment ID: I20191106000021 |
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