Red River Neurology Clinic

LBN: Red River Neurology Clinic
Red River Neurology Clinic is an health care organization with primary practice located at 2812 17Th Ave S Ste D, Grand Forks ND 58201-4048. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as the primary health care specialty. Red River Neurology Clinic can be contacted via phone (701) 780-1401, or through Benson, Lorae via phone (701) 780-1401.

Contact Information

Primary practice address
2812 17Th Ave S Ste D Grand Forks ND 58201-4048
Phone: (701) 780-1401
Fax: (701) 780-1404
Website:
Map and Directions
Authorized official contact:
Name: Benson, Lorae
Phone: (701) 780-1401

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 4231 North Dakota

Profile Details

NPI number 1255337861
LBN Legal business name Red River Neurology Clinic
DBA Doing business as
Authorized official Benson, Lorae
Entity Organization
Organization subpart 1 No
Enumeration date Jun 28th, 2005
Last updated Aug 22nd, 2020 - about 6 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 1255337861 NPPES
North Dakota MEDICAID 16549

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