| The Kidney And Hypertension Center | |
|
1451 44th Ave S Suite 112d Grand Forks ND 58201-3434 | |
| (701) 775-5800 | |
| (701) 775-5200 |
| Full Name | The Kidney And Hypertension Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1451 44th Ave S, Grand Forks, North Dakota |
| Authorized Official Name and Position | Khaled M Rabadi (OWNER) |
| Authorized Official Contact | 7017755800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Kidney And Hypertension Center 1451 44th Ave S Suite 112d Grand Forks ND 58201-3434 Ph: (701) 775-5800 | The Kidney And Hypertension Center 1451 44th Ave S Suite 112d Grand Forks ND 58201-3434 Ph: (701) 775-5800 |
| NPI Number | 1285742262 |
|---|---|
| Provider Enumeration Date | 08/29/2006 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 8628974532 |
|---|---|
| Medicare Enrollment ID | O20031211000091 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285742262 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (North Dakota) | Primary |
| Provider Name | John Carlyle Miller |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1407810575 PECOS PAC ID: 5092740662 Enrollment ID: I20051003000301 |
| Provider Name | Kirsten D Peterson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285636423 PECOS PAC ID: 6406950757 Enrollment ID: I20070327000419 |
| Provider Name | Lana J Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851520647 PECOS PAC ID: 7315091154 Enrollment ID: I20090813000486 |
| Provider Name | Byron Velander |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578501672 PECOS PAC ID: 8123087491 Enrollment ID: I20091120000267 |
| Provider Name | Deborah L Lachance |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003907809 PECOS PAC ID: 9335265743 Enrollment ID: I20100922001256 |
| Provider Name | Ann L Mason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952696049 PECOS PAC ID: 6406025345 Enrollment ID: I20110809000776 |
| Provider Name | Kelly J Stauss Carlson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306126255 PECOS PAC ID: 0749454114 Enrollment ID: I20111121000515 |
| Provider Name | Khaled Mazen Rabadi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1639180425 PECOS PAC ID: 5890604706 Enrollment ID: I20120103000245 |
| Provider Name | Rebecca Kreis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164775441 PECOS PAC ID: 9335392232 Enrollment ID: I20121228000308 |
| Provider Name | Kari L Gudmundson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083072466 PECOS PAC ID: 2567767387 Enrollment ID: I20160216001631 |
| Provider Name | Elizabeth M Hodny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093233165 PECOS PAC ID: 6608132410 Enrollment ID: I20171110002851 |
| Provider Name | Jennifer D Grassel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467186510 PECOS PAC ID: 9032592167 Enrollment ID: I20220822003365 |
| Provider Name | Nicholas Chandler Woods |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558851543 PECOS PAC ID: 5890047450 Enrollment ID: I20230315001816 |
Spectra Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 212 S 4th St, Suite 301, Grand Forks, ND 58201 Phone: 701-757-2100 Fax: 701-757-0305 | |
The Aurora Cardiology Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1451 44th Ave S, Suite 112d, Grand Forks, ND 58201 Phone: 701-775-5800 Fax: 701-775-5200 | |
Meridian Behavioral Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1451 44th Ave S, Grand Forks, ND 58201 Phone: 701-772-2500 Fax: 701-757-1512 | |
Northern Valley Obstetrics & Gynecology, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2810 17th Ave S, Grand Forks, ND 58201 Phone: 701-738-2004 | |
Aurora Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2650 32nd Ave S Ste D, Grand Forks, ND 58201 Phone: 701-732-2700 Fax: 701-732-2701 | |
Midwest Gastroenterology Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-5000 |