Valley Dermatology Clinic Pc

LBN: Valley Dermatology Clinic Pc
Valley Dermatology Clinic Pc is an health care organization with primary practice located at 3270 20Th St S , Fargo ND 58104-5917. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Valley Dermatology Clinic Pc can be contacted via phone (701) 293-7408, or through Kelly, Kimberly via phone (701) 293-7408.

Contact Information

Primary practice address
3270 20Th St S Fargo ND 58104-5917
Phone: (701) 293-7408
Fax: (701) 235-2099
Website:
Map and Directions
Authorized official contact:
Name: Kelly, Kimberly Doctor of Medicine (MD)
Phone: (701) 293-7408

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1043380223
LBN Legal business name Valley Dermatology Clinic Pc
DBA Doing business as
Authorized official Kelly, Kimberly Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 8th, 2006
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 1043380223 NPPES
North Dakota Other 06546001 BLUE SHIELD
North Dakota MEDICAID 13495 BLUE SHIELD
North Dakota Other 510R8VA BLUE SHIELD

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