Organization
ST. ANDREW'S BOTTINEAU CLINIC, LLC
Active
Organization
ST. ANDREW'S BOTTINEAU CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JODI ATKINSON (CEO/PRESIDENT)
(701) 228-9300
Entity
Organization
Contact information
Practice address
314 OHMER ST, BOTTINEAU, ND 58318-1045
(701) 228-9400
(701) 228-3245
Mailing address
314 OHMER ST, BOTTINEAU, ND 58318-1045
(701) 228-9400
(701) 228-3245
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
353851
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05165
—
ND
05
—
10818
—
ND
Enumeration date
07/07/2005
Last updated
04/30/2010
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