| Towner County Medical Center Inc | |
|
228 1st Ave Cando ND 58324-7500 | |
| (701) 698-2541 | |
| Not Available |
| Full Name | Towner County Medical Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 228 1st Ave, Cando, North Dakota |
| Authorized Official Name and Position | Tammy L Larson (CFO) |
| Authorized Official Contact | 7019682560 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Towner County Medical Center Inc Po Box 688 Cando ND 58324-0688 Ph: (701) 968-2556 | Towner County Medical Center Inc 228 1st Ave Cando ND 58324-7500 Ph: (701) 698-2541 |
| NPI Number | 1124041389 |
|---|---|
| Provider Enumeration Date | 07/26/2006 |
| Last Update Date | 07/30/2024 |
| Medicare PECOS PAC ID | 6800798497 |
|---|---|
| Medicare Enrollment ID | O20040123000581 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124041389 | NPI | - | NPPES |
| 16119 | Medicaid | ND | |
| 574105000 | Medicaid | MN | |
| 398004 | Other | ND | BCBS PROVIDER # |
| 5052 | Medicaid | ND | |
| 398001 | Other | ND | BCBS PROVIDER # |
| 8193 | Other | ND | BCBS PROVIDER # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | William F Wosick |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700808375 PECOS PAC ID: 1254228679 Enrollment ID: I20040301001239 |
| Provider Name | Paul D Ellenbecker |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1679508089 PECOS PAC ID: 3375526551 Enrollment ID: I20040609000704 |
| Provider Name | Mark G Peterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134182355 PECOS PAC ID: 7214979616 Enrollment ID: I20050525001101 |
| Provider Name | Timothy Peterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134211568 PECOS PAC ID: 9739197567 Enrollment ID: I20060405000101 |
| Provider Name | Jeffrey S Phelan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497734123 PECOS PAC ID: 1254245954 Enrollment ID: I20060411000154 |
| Provider Name | Lee A Ellingson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871511410 PECOS PAC ID: 5496642084 Enrollment ID: I20080226000804 |
| Provider Name | Kayla J Mitchell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912158999 PECOS PAC ID: 1153489596 Enrollment ID: I20081029000199 |
| Provider Name | Jessica J Larson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083901490 PECOS PAC ID: 2163693342 Enrollment ID: I20110920000174 |
| Provider Name | Anil Potti |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1427122266 PECOS PAC ID: 5597869461 Enrollment ID: I20120618000693 |
| Provider Name | Samuel P Held |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740575000 PECOS PAC ID: 4880840750 Enrollment ID: I20120808000524 |
| Provider Name | Ben J Bucher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114282936 PECOS PAC ID: 7416104088 Enrollment ID: I20120904000762 |
| Provider Name | Lucas Ludeman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205080744 PECOS PAC ID: 2668537069 Enrollment ID: I20121203000117 |
| Provider Name | Jerel Brandt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104051101 PECOS PAC ID: 8426276585 Enrollment ID: I20140902002215 |
| Provider Name | Timothy P Overend |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427345586 PECOS PAC ID: 4385959535 Enrollment ID: I20150817002016 |
| Provider Name | Lana M Nicholas |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1144255985 PECOS PAC ID: 7416236138 Enrollment ID: I20161118002344 |
| Provider Name | Cassandra M Ullyott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245760461 PECOS PAC ID: 8527339019 Enrollment ID: I20170801003613 |