Peggy Weber-Rodlund

Individual provider Active NPI Case Manager/Care Coordinator · Selfridge, ND

NPI 1508575416 · NPPES record last updated Nov 18, 2022

Key facts

NPI
1508575416
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
110 1St Ave S
Selfridge, ND 58568-7706
Phone
(701) 230-2378
NPI assigned
Nov 18, 2022
Sex
Female
Sole proprietor
Yes

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)CodeLicenseStatePrimary
Driver 172A00000X
Peer Specialist 175T00000X
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

110 1St Ave S
Selfridge, ND 58568-7706

Mailing address

PO Box 232
Selfridge, ND 58568-0232
Phone (701) 230-2378

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL peggyamachi@yahoo.com Health Information Exchange (HIE) Amachi Mentoring

Sources for this page

Verify at the official NPI Registry.