ROLLA EYE CLINIC (NPI# 1700064599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700064599 |
| Entity Type | Organization |
| Organization Name | ROLLA EYE CLINIC |
| Practice Address |
118 3rd St. Ne Rolla ND 58367-1170 |
| Mailing Address |
Po Box 1170 Rolla ND 58367-1170 |
| Practice Telephone | 7014775656 |
| Practice Fax Number | 7014775675 |
| Mailing Telephone | 7014775656 |
| Mailing Fax Number | 7014775675 |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2009-03-04 |
| Authorized Official Name | DR. JOSEPH ALAN THORMAN (DOCTOR/OWNER) |
| Authorized Official Telephone | 7014775656 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
540 | ND | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | PREFERRED | B48107221235 | 01 |
| ND | MEDICARE RAIL ROAD | 410048131 | 01 |
| ND | BCBS | THO13533 | 01 |
| ND | 60650 | 05 |
| Street Address |
118 3RD ST. NE |
| City | ROLLA |
| State | ND |
| Zip Code | 58367-1170 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053946343 | Kayla M Wallette | Technician, Other | 1102 Main Ave, Rolla, ND 58367 | 2020-03-06 |
| 1972092757 | William David Nix | Case Manager/Care Coordinator | 102 Main Ave W, Rolla, ND 58367 | 2018-05-07 |
| 1598138745 | Catherine Minick | Case Manager/Care Coordinator | 1102 Main Ave W, Rolla, ND 58367 | 2015-11-10 |
| 1881008266 | Rolette County Social Services | Case Management | 210 2nd Ave Ne, Rolla, ND 58367 | 2014-06-13 |
| 1346318268 | Commmunity Ambulance Service, Inc | Ambulance | 217 5th Ave Ne, Rolla, ND 58367 | 2006-11-30 |
| 1831735257 | Kyla Marie Larocque | Case Manager/Care Coordinator | 102 Main Ave W, Rolla, ND 58367 | 2019-11-20 |
| 1598204489 | Laura L Waagen | Social Worker | 1102 Main Ave W, Rolla, ND 58367 | 2017-02-13 |
| 1225369523 | Northland Health Partners Community Health Center | Clinic/Center | 114 3rd St Ne, Rolla, ND 58367 | 2010-01-26 |
| 1629224829 | Susan M. Davis | Counselor | 113 Main Ave E, Rolla, ND 58367 | 2008-08-07 |
| 1588848741 | Andrea E Laverdure | Counselor | 113 Main Ave E, Rolla, ND 58367 | 2007-12-24 |
| Find all providers in zip 58367 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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|---|---|---|---|---|
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| 1457691305 | Presentation Medical Center | Clinic/Center | 213 2nd Ave Ne, Rolla, ND 58367-7153 | 2013-02-28 |
| 1881819464 | Rolla Urgent Care LLC | Clinic/Center | 1060 S Bishop Ave, Rolla, MO 65401-4411 | 2007-04-17 |
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| 1689085797 | Northwood Deaconess Health Center | Clinic/Center | 611 Towner Ave, Larimore, ND 58251 | 2014-05-12 |
| 1043649486 | Jacobson Memorial Hospital Care Center | Clinic/Center | 215 3rd Ave W, Richardton, ND 58652-7109 | 2013-11-06 |
| 1891859948 | Nelson County Health System | Clinic/Center | 117 2nd St West, Lakota, ND 58344 | 2006-12-21 |
| 1760570394 | West River Health Services | Clinic/Center | 211 Main Street, Scranton, ND 58653 | 2006-10-10 |
| 1942398508 | West River Health Services | Clinic/Center | 420 Pacific Ave, Mott, ND 58646 | 2006-10-10 |
| 1871691519 | Jacobson Memorial Hospital Care Center | Clinic/Center | 603 East St N, Elgin, ND 58533-7105 | 2006-09-20 |
| 1376651463 | Jacobson Memorial Hospital Care Center | Clinic/Center | 811 Main St, Hebron, ND 58638 | 2006-08-28 |
| Find all providers with the same taxonomy | ||||
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| 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.