CENTRAL CLINIC (NPI# 1306320213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306320213 |
| Entity Type | Organization |
| Organization Name | CENTRAL CLINIC |
| Practice Address |
990 Main St Carrington ND 58421-2024 |
| Practice Telephone | 7016522651 |
| Practice Fax Number | 7016521882 |
| Mailing Telephone | 7016522651 |
| Mailing Fax Number | 7016521882 |
| Enumeration Date | 2018-09-18 |
| Last Update Date | 2019-12-10 |
| Authorized Official Name | SHANE R WENDEL (PRESIDENT) |
| Authorized Official Telephone | 7016522044 |
| Authorized Official Credential | PHARM.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | CENTRAL PHARMACY INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407210842 | Central Clinic | Community/Behavioral Health | 2825 Burnet Ave, Cincinnati, OH 45219-2426 | 2016-04-12 |
| 1548622681 | Central Clinic | Community/Behavioral Health | 2349 Victory Pkwy, Cincinnati, OH 45206-2803 | 2016-03-28 |
| Street Address |
990 MAIN ST |
| City | CARRINGTON |
| State | ND |
| Zip Code | 58421-2024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801247143 | Tyler Hewitt | Pharmacist | 990 Main St, Carrington, ND 58421-2024 | 2016-06-28 |
| 1376843805 | Kristin Cabler | Pharmacist | 990 Main St, Carrington, ND 58421-2024 | 2010-11-01 |
| 1497767990 | Central Pharmacy Inc | Pharmacy | 990 Main St, Carrington, ND 58421-2024 | 2006-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407024896 | Carrington Health Center | Pharmacy | 800 N 4th Street, Carrington Health Center, Carrington, ND 58421 | 2008-02-19 |
| 1356865497 | Chelsey Lin Zeltinger | Nurse Practitioner | 800 4th St N, Carrington, ND 58421 | 2017-07-31 |
| 1639498777 | Bradley Hoff | Physician Assistant | 820 5th St N, Carrington, ND 58421 | 2010-05-28 |
| 1750586772 | Jacqueline D Nelson | Physician Assistant | 820 5th St N, Carrington, ND 58421 | 2007-06-19 |
| 1558389338 | Carrington Health Center | Family Medicine | 820 5th St N, Carrington, ND 58421 | 2006-07-18 |
| 1700863362 | Mary L Hoff | Physician Assistant | 820 5th St N, Carrington, ND 58421 | 2005-12-26 |
| 1225089949 | Inder V Khokha | Surgery | 820 5th St N, Carrington, ND 58421-0079 | 2006-05-15 |
| 1902988488 | Jay Allen Bauer | Dentist | 923 1st Street South, Carrington, ND 58421-0139 | 2006-10-20 |
| 1306839972 | Alpha Inc | Skilled Nursing Facility | 1st East Main, Carrington, ND 58421-0261 | 2005-08-29 |
| 1083775688 | Carrington Health Center | Ambulance | 840 4th St N, Carrington, ND 58421-0461 | 2006-12-13 |
| Find all providers in zip 58421 | ||||
| Taxonomy Code | 261QM2800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Methadone Clinic |
| An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
| Notes: [7/1/2003: new] |
| City | CARRINGTON |
| Zip Code | 58421 |
Please comment or provide details below to improve the information on CENTRAL CLINIC.
| 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.