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Medicaid Provider Enrollment

PROVIDER ENROLLMENT INFORMATION:

Medicaid Provider Enrollment Electronic Application Information (MMIS)

Medicaid Provider Enrollment Paper Applications


All completed applications should be mailed to:

ND Dept of Human Services
Medicaid Provider Enrollment
600 E Boulevard Ave Dept 325
Bismarck ND 58505-0250

If you have any questions on enrollment call:

ND Medicaid Provider Enrollment
1-800-755-2604 or 701-328-4033
Monday through Friday
8:00 a.m. to 4:30 p.m. (CST)

 

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