Mid Dakota Clinic, Inc.

LBN: Mid Dakota Clinic, Inc.
Mid Dakota Clinic, Inc. is an health care organization with primary practice located at 401 N 9Th St , Bismarck ND 58501-4507. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Mid Dakota Clinic, Inc. can be contacted via phone (701) 530-6100, or through Heegaard, William via phone (701) 364-4554.

Contact Information

Primary practice address
401 N 9Th St Bismarck ND 58501-4507
Phone: (701) 530-6100
Fax: (701) 530-6430
Website:
Map and Directions
Authorized official contact:
Name: Heegaard, William
Phone: (701) 364-4554

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 35C1001023 North Dakota

Profile Details

NPI number 1366484404
LBN Legal business name Mid Dakota Clinic, Inc.
DBA Doing business as
Authorized official Heegaard, William
Entity Organization
Organization subpart 1 No
Enumeration date Jun 12th, 2006
Last updated Oct 25th, 2022 - about 4 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 1366484404 NPPES
Other 35C1001023 CMS
Other P00320159 CMS
MEDICAID 13685 CMS

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