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INTERNAL MEDICINE ASSOCIATES INC NPI 1144313743


NPI Information

NPI: 1144313743
Provider Name: INTERNAL MEDICINE ASSOCIATES INC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 35D0408393

Address:
4450 31ST AVE S STE 102
FARGO, ND
ZIP 58104
Phone: (701) 280-2033
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INTERNAL MEDICINE ASSOCIATES INC is an internal medicine in Fargo, ND. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. INTERNAL MEDICINE ASSOCIATES INC NPI is 1144313743. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4450 31ST AVE S STE 102
FARGO, ND
ZIP 58104-557
Phone: (701) 280-2033
Fax: (701) 232-5578

The provider's authorized official is Michael J Lillestol .
The authorized official title is President and has the following contact phone number (701) 280-2033.

The CLIA number assigned to this NPI record is 35D0408393 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 10/2/2006 and was last updated on 3/23/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1301713300MEDICAIDMINNESOTA
2162D7INOTHERMINNESOTAMN BLUE SHIELD
305595001OTHERNORTH DAKOTAND BLUE SHIELD
411941MEDICAIDNORTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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