Sarah Irene Tracy
Individual provider Active NPI Personal Care Attendant · Mohall, ND
NPI 1366269656 · NPPES record last updated Sep 26, 2024
Key facts
- NPI
- 1366269656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 608 4TH St NE
Mohall, ND 58761-4011 - Phone
- (701) 500-8868
- NPI assigned
- Sep 26, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | ND | Yes |
Addresses
Primary practice location
608 4TH St NE
Mohall, ND 58761-4011
Mailing address
PO Box 739
Mohall, ND 58761-0739
Phone (701) 500-8868
Other providers in Mohall, ND
- Loretta Scott
- Melanie Ray Skar
- Mary Smith
- Ruth A Stanley
- The Evangelical Lutheran Good Samaritan Society
- Amanda Marie Wallace
- White Drug Co of Jamestown Inc
All providers in Mohall, ND · Personal Care Attendant in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.