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CAH351312-02 NORTHWOOD DEACONESS HEALTH CENTER (Active)
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Main Details
Name
NORTHWOOD DEACONESS HEALTH CENTER
Subdivision Name
Health Center Clinic Binford - Clinic
Type
Critical Access Hospital
Rural
No
340B ID
CAH351312-02
Medicare Provider Number
351312
Outpatient Facility Provider Number
353459
Additional Details
Current Program Status
Active
Registration Date
7/2/2018
Participating Start Date
10/1/2018
Participating Approval Date
7/25/2018
Last Recertification Date
8/12/2024
Contacts
Authorizing Official
Northwood Deaconess Health Center
Greta McKenzie, CFO
(701) 587-6459
Primary Contact
Northwood Deaconess Health Center
Jenny A Metz, Pharmacy Manager
(701) 587-6480
Addresses
Street Address
308 Whinery St
Binford, ND 58416
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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