Burckhard Clinic, P. C.

LBN: Burckhard Clinic, P. C.
Burckhard Clinic, P. C. is an health care organization with primary practice located at 315 Main St S Ste 315 Ste. 315, Minot ND 58701-3956. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Mental Health, which is considered as the primary health care specialty. Burckhard Clinic, P. C. can be contacted via phone (701) 852-5876, or through Burckhard, Mike V. via phone (701) 852-5876.

Contact Information

Primary practice address
315 Main St S Ste 315 Ste. 315 Minot ND 58701-3956
Phone: (701) 852-5876
Fax: (701) 852-5883
Website:
Map and Directions
Authorized official contact:
Name: Burckhard, Mike V. LICSW
Phone: (701) 852-5876

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X 120 North Dakota

Profile Details

NPI number 1346305190
LBN Legal business name Burckhard Clinic, P. C.
DBA Doing business as
Authorized official Burckhard, Mike V. LICSW
Entity Organization
Organization subpart 1 No
Enumeration date Dec 22nd, 2006
Last updated Nov 19th, 2014 - 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 1346305190 NPPES
North Dakota MEDICAID 11482

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