Udom Tinsatul, Md

LBN: Ashley Clinic P C Tinsa
Udom Tinsatul, Md is an health care organization with primary practice located at 612 Center Ave N , Ashley ND 58413-7013. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is the primary health care specialty. Ashley Clinic P C Tinsa can be contacted via phone (701) 288-3431, or through Tinsatul, Udom via phone (701) 288-3431.

Contact Information

Primary practice address
612 Center Ave N Ashley ND 58413-7013
Phone: (701) 288-3431
Fax: (701) 288-3432
Website:
Map and Directions
Authorized official contact:
Name: Tinsatul, Udom Doctor of Medicine (MD)
Phone: (701) 288-3431

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 3926 North Dakota
Allopathic & Osteopathic Physicians / General Practice 208D00000X 3926 North Dakota

Profile Details

NPI number 1063525103
LBN Legal business name Ashley Clinic P C Tinsa
DBA Doing business as Udom Tinsatul, Md
Authorized official Tinsatul, Udom Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 15th, 2006
Last updated Mar 9th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063525103 NPPES
North Dakota Other 1714 BCBS INDIVIDUAL #
North Dakota Other 00125001 BCBS INDIVIDUAL #
North Dakota Other 450389987 BCBS INDIVIDUAL #
North Dakota MEDICAID 7775690 BCBS INDIVIDUAL #
North Dakota MEDICAID 10000 BCBS INDIVIDUAL #
North Dakota MEDICAID 12755 BCBS INDIVIDUAL #

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