Orlan D Jackson (NPI# 1184602666, PAC ID# 9739085663) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1184602666 |
| PAC ID by PECOS | 9739085663 |
| Professional Enrollment ID | I20031210000878 |
| Full Name | Orlan D Jackson |
| Organization Legal Name | COAL COUNTRY COMMUNITY HEALTH CENTER |
| Address |
1312 Hwy 49 N Beulah ND 58523-6038 |
| Phone Number | 7018734445 |
| Gender | M |
| Credential | DO |
| Medical School | UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES |
| Graduation Year | 1987 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 9436042892 |
| Number of Group Practice Members | 20 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 351310 | SAKAKAWEA MEDICAL CENTER - CAH |
| Address | Phone | Organization |
|---|---|---|
| 1312 Hwy 49 N, Beulah, ND 58523-6038 | 7018734445 | COAL COUNTRY COMMUNITY HEALTH CENTER |
| 220 4th Ave N, Killdeer, ND 58640-8500 | 7017645822 | COAL COUNTRY COMMUNITY HEALTH CENTER |
| Organization Legal Name | COAL COUNTRY COMMUNITY HEALTH CENTER |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelsey Leigh Striefel | Nurse Practitioner | Coal Country Community Health Center | 1312 Hwy 49 N, Beulah, ND 58523-6038 |
| Lori A Jepson | Nurse Practitioner | Coal Country Community Health Center | 220 4th Ave N, Killdeer, ND 58640-8500 |
| Cassandra Altringer | Nurse Practitioner | Coal Country Community Health Center | 1312 Hwy 49 N, Beulah, ND 58523-6038 |
| Jacinta-jon T Klindworth | Family Medicine | Coal Country Community Health Center | 1312 Hwy 49 N, Beulah, ND 58523-6038 |
| Janet M Wanek | Registered Dietitian Or Nutrition Professional | Coal Country Community Health Center | 1312 Hwy 49 N, Beulah, ND 58523-6038 |
| Heather Ann Czywczynski | Nurse Practitioner | Coal Country Community Health Center | 1312 Hwy 49 N, Beulah, ND 58523-6038 |
| Kayla Marie Ternes | Physician Assistant | Coal Country Community Health Center | 1312 Hwy 49 N, Beulah, ND 58523-6038 |
| Debra L Sailer | Nurse Practitioner | Coal Country Community Health Center | 111 E Main St, Center, ND 58530-4709 |
| Aaron M Garman | Family Medicine | Coal Country Community Health Center | 1312 Hwy 49 N, Beulah, ND 58523-6038 |
| Melissa M Herman | Clinical Social Worker | Coal Country Community Health Center | 1312 Hwy 49 N, Beulah, ND 58523-6038 |
| Street Address |
1312 HWY 49 N |
| City | BEULAH |
| State | ND |
| Zip | 58523-6038 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelsey Leigh Striefel | Nurse Practitioner | Coal Country Community Health Center | 1312 Hwy 49 N, Beulah, ND 58523-6038 |
| Cassandra Altringer | Nurse Practitioner | Coal Country Community Health Center | 1312 Hwy 49 N, Beulah, ND 58523-6038 |
| Jacinta-jon T Klindworth | Family Medicine | Coal Country Community Health Center | 1312 Hwy 49 N, Beulah, ND 58523-6038 |
| Janet M Wanek | Registered Dietitian Or Nutrition Professional | Coal Country Community Health Center | 1312 Hwy 49 N, Beulah, ND 58523-6038 |
| Heather Ann Czywczynski | Nurse Practitioner | Coal Country Community Health Center | 1312 Hwy 49 N, Beulah, ND 58523-6038 |
| Kayla Marie Ternes | Physician Assistant | Coal Country Community Health Center | 1312 Hwy 49 N, Beulah, ND 58523-6038 |
| Aaron M Garman | Family Medicine | Coal Country Community Health Center | 1312 Hwy 49 N, Beulah, ND 58523-6038 |
| Melissa M Herman | Clinical Social Worker | Coal Country Community Health Center | 1312 Hwy 49 N, Beulah, ND 58523-6038 |
| Mitchel R Leers | Physician Assistant | Coal Country Community Health Center | 1312 Hwy 49 N, Beulah, ND 58523-6038 |
| Sherri K Doll | Nurse Practitioner | Coal Country Community Health Center | 1312 Hwy 49 N, Beulah, ND 58523-6038 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicole M Gabriel | Chiropractic | 101 W Main, Heart In Hand Chiropractic Clinic, Beulah, ND 58523 | |
| Carley C Robertson | Emergency Medicine | 125 Airport Rd Hwy 2 W, Chinook, MT 58523-1149 | |
| Caroline O Calabria | Physical Therapy | 125 Airport Rd Hwy 2 W, Chinook, MT 58523-1149 | |
| Thomas J Eick | Psychiatry | Coal Country Community Health Center | 1312 Hwy 49 N, Beulah, ND 58523-6038 |
| Eric H Klindworth | Physical Therapy | Coal Country Community Health Center | 1312 Hwy 49 N, Beulah, ND 58523-6038 |
| Sharon J Olson | Nurse Practitioner | Coal Country Community Health Center | 1312 Hwy 49 N, Beulah, ND 58523-6038 |
| Corrie L Rogness | Nurse Practitioner | Coal Country Community Health Center | 1312 Hwy 49 N, Beulah, ND 58523-6038 |
| Beth Zimmerman | Physician Assistant | Coal Country Community Health Center | 1312 Hwy 49 N, Beulah, ND 58523-6038 |
| Cindi D Reinhardt | Physical Therapy | 108 W Main St, Suite B, Beulah, ND 58523-6968 | |
| Travis Jason Voegele | Chiropractic | Erickson Chiropractic PC | 212 W Main St, Beulah, ND 58523-6970 |
| Find all physicians in zip 58523 | |||
| City | BEULAH |
| Zip Code | 58523 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | BEULAH + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Orlan D Jackson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.