Organization
MKB MANAGEMENT CORPORATION
Active
Other names
Red River Women's Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMMI J KROMENAKER (DIRECTOR)
(701) 298-9999
Entity
Organization
Contact information
Practice address
512 1ST AVE N, FARGO, ND 58102-4804
(701) 298-9999
(701) 235-8084
Mailing address
512 1ST AVE N, FARGO, ND 58102-4804
(701) 298-9999
(701) 235-8084
Taxonomy
Speciality
Code
Description
License number
State
261QA0005X
Ambulatory Family Planning Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07-83107
MEDICA ID #
MN
01
—
09G07RE
BCBS ID #
MN
05
—
10975
—
ND
Enumeration date
02/21/2007
Last updated
08/22/2020
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