Provider Demographics
NPI:1033972450
Name:BOHMER, KATE ROLLINE (CHAPLAIN BCC-HPC)
Entity Type:Individual
Prefix:
First Name:KATE
Middle Name:ROLLINE
Last Name:BOHMER
Suffix:
Gender:F
Credentials:CHAPLAIN BCC-HPC
Other - Prefix:
Other - First Name:KATE
Other - Middle Name:ROLLINE
Other - Last Name:WINKELMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LSW, BCC-HPC
Mailing Address - Street 1:2101 ELM ST N
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58102-2417
Mailing Address - Country:US
Mailing Address - Phone:701-232-3241
Mailing Address - Fax:
Practice Address - Street 1:2101 ELM ST N
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58102-2417
Practice Address - Country:US
Practice Address - Phone:701-232-3241
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-31
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral