ANOVA FAMILY HEALTH CENTER INC.


Address: 113 Main Street South, Watford City, ND 58854-2479
Phone: 7018426400

ANOVA FAMILY HEALTH CENTER INC. (NPI# 1801145206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801145206
Entity Type Organization
Organization Name ANOVA FAMILY HEALTH CENTER INC.
Practice Address 113 Main Street South
Watford City
ND 58854-2479
Mailing Address Po Box 2479
113 Main Street South
Watford City
ND 58854-2479
Practice Telephone 7018426400
Practice Fax Number 7018426403
Mailing Telephone 7018426400
Mailing Fax Number 7018426403
Enumeration Date 2012-08-31
Last Update Date 2012-12-14
Authorized Official Name VONNIE JEAN JOHNSON (OWNER/OPERATOR)
Authorized Official Telephone 7018426400
Authorized Official Credential FNP-BC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
INDIVIDUAL NPI-VONNIE JOHNSON 1124279633 01
INDIVIDUAL NPI-ANITA PEDERSEN 1790030187 01

Office Location

Street Address 113 MAIN STREET SOUTH
City WATFORD CITY
State ND
Zip Code 58854-2479

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1710063771 Gary L Trauger Chiropractor 105 2nd Ave Ne, Watford City, ND 58854 2006-10-31
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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Competitor

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City WATFORD CITY
Zip Code 58854

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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