Coal Country Community Health Center - Medicare Primary Care in Beulah, ND

Coal Country Community Health Center is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Beulah, North Dakota. The current practice location for Coal Country Community Health Center is 1312 Highway 49 N, Beulah, North Dakota. For appointments, you can reach them via phone at (701) 873-4445. The mailing address for Coal Country Community Health Center is 1312 Highway 49 N, Beulah, North Dakota and phone number is (701) 873-4445.

Coal Country Community Health Center is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1942288329. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (701) 873-4445.

Contact Information

Coal Country Community Health Center
1312 Highway 49 N
Beulah
ND 58523
(701) 873-4445
(701) 873-4199

Primary Care Clinic Profile

Full NameCoal Country Community Health Center
SpecialityClinic/Center
Location1312 Highway 49 N, Beulah, North Dakota
Authorized Official Name and PositionDarrold Bertsch (CEO)
Authorized Official Contact7018734445
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Coal Country Community Health Center
1312 Highway 49 N
Beulah
ND 58523-6038

Ph: (701) 873-4445
Coal Country Community Health Center
1312 Highway 49 N
Beulah
ND 58523

Ph: (701) 873-4445

NPI Details:

NPI Number1942288329
Provider Enumeration Date01/05/2006
Last Update Date06/15/2018

Medicare PECOS Information:

Medicare PECOS PAC ID9436042892
Medicare Enrollment IDO20040317001173

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Medical Identifiers

Medical identifiers for Coal Country Community Health Center such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942288329NPI-NPPES
05909MedicaidND

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Coal Country Community Health Center acts as a billing entity for following providers:
Provider NameSharon J Olson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598743072
PECOS PAC ID: 3072419258
Enrollment ID: I20031209000568

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Provider NameMark Doerner
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1437252293
PECOS PAC ID: 3072419001
Enrollment ID: I20031210000782

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Provider NameAaron M Garman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1457339939
PECOS PAC ID: 0446156129
Enrollment ID: I20031211001076

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Provider NameThomas D Kaspari
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1528046000
PECOS PAC ID: 4688571110
Enrollment ID: I20031215000205

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Provider NameJacinta-jon T Klindworth
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1205814787
PECOS PAC ID: 1355248618
Enrollment ID: I20031215000843

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Provider NameRodney Leon Zimmerman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1417149279
PECOS PAC ID: 9739088907
Enrollment ID: I20040107000295

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Provider NameThomas J Eick
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1972544708
PECOS PAC ID: 0941255434
Enrollment ID: I20050317000430

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Provider NameRobert J Volk
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932140050
PECOS PAC ID: 0143220905
Enrollment ID: I20070102000220

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Provider NameCorrie L Rogness
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609078302
PECOS PAC ID: 4981798808
Enrollment ID: I20070921000467

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Provider NameHeather Ann Czywczynski
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285920587
PECOS PAC ID: 1456529833
Enrollment ID: I20110801000111

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Provider NameDebra L Sailer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447548623
PECOS PAC ID: 7113199068
Enrollment ID: I20111018000867

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Provider NameMelissa M Herman
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1558502336
PECOS PAC ID: 6103077391
Enrollment ID: I20121116000257

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Provider NameMichelle J Placke
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1942648878
PECOS PAC ID: 8426278631
Enrollment ID: I20150729010066

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Provider NameCassandra Altringer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205283090
PECOS PAC ID: 8426344268
Enrollment ID: I20160906000474

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Provider NameCourtney Dean
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295258507
PECOS PAC ID: 8921370594
Enrollment ID: I20170816002270

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Provider NameJanet M Wanek
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1235300245
PECOS PAC ID: 9537421854
Enrollment ID: I20180327001724

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Provider NameKelsey Leigh Striefel
Provider TypePractitioner - Nurse Practitioner
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Enrollment ID: I20181228001303

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Provider NameAbbey Marie Pelton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316564115
PECOS PAC ID: 4183048440
Enrollment ID: I20200720001413

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Provider NameKelsey Ann Wiseman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1770072837
PECOS PAC ID: 1456756881
Enrollment ID: I20210824002093

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Provider NameAnn O Ruffo
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1093249195
PECOS PAC ID: 7810225653
Enrollment ID: I20220727001690

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Provider NameTalitha K Schnaidt
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1740556414
PECOS PAC ID: 6709220080
Enrollment ID: I20240214002042

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› Verified 1 days ago


Clinic/Center in Beulah, ND


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