Anova Family Health Center Inc.

Organization Active NPI Primary Care Clinic/Center · Watford City, ND

NPI 1801145206 · NPPES record last updated Dec 14, 2012

Key facts

NPI
1801145206
Entity type
Organization (NPI type 2)
Primary specialty
Primary Care Clinic/Center 261QP2300X
Legal business name
ANOVA FAMILY HEALTH CENTER INC.
Practice address
113 Main Street South
Watford City, ND 58854-2479
Phone
(701) 842-6400
Fax
(701) 842-6403
NPI assigned
Aug 31, 2012
Organization subpart
No

Authorized official

Name
Vonnie Jean Johnson, FNP-BC
Title
Owner/Operator
Phone
(701) 842-6400

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Yes

Addresses

Primary practice location

113 Main Street South
Watford City, ND 58854-2479

Mailing address

PO Box 2479
113 Main Street South
Watford City, ND 58854-2479
Phone (701) 842-6400

Other identifiers

IdentifierTypeStateIssuer
1124279633OtherINDIVIDUAL NPI-VONNIE JOHNSON
1790030187OtherINDIVIDUAL NPI-ANITA PEDERSEN

Other providers in Watford City, ND

All providers in Watford City, ND · Primary Care Clinic/Center in North Dakota

Sources for this page

Verify at the official NPI Registry.