BISMARCK CANCER CENTER NPI 1538212162

NPI Information

NPI: 1538212162
Provider Name: BISMARCK CANCER CENTER
Classification: Radiology - 2085R0001X
Entity Type: Organization

Specialization: Radiation Oncology

CLIA Number: 35D2036569

Address:
500 N 8TH ST
BISMARCK, ND
ZIP 58501
Phone: (701) 222-6100
Get Directions

BISMARCK CANCER CENTER is a radiation oncology radiology in Bismarck, ND. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. BISMARCK CANCER CENTER NPI is 1538212162. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

500 N 8TH ST
BISMARCK, ND
ZIP 58501-445
Phone: (701) 222-6100
Fax: (701) 222-6150

The provider's authorized official is Lolita Dutton .
The authorized official title is Financial And Support Services Mana and has the following contact phone number (701) 222-6102.

The CLIA number assigned to this NPI record is 35D2036569 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/18/2007 and was last updated on 1/5/2017.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0001X	Radiology	Radiation Oncology			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	24-00390	OTHER	NORTH DAKOTA	MEDICA
2	11128	MEDICAID	NORTH DAKOTA
3	1558450841	OTHER	NORTH DAKOTA	BCBS OF ND
4	24-00348	OTHER	NORTH DAKOTA	MEDICA
5	N71029	MEDICARE ID-TYPE UNSPECIFIED	NORTH DAKOTA	OFFICE GROUP MEDICARE
6	15295	MEDICAID	NORTH DAKOTA
7	N715227	MEDICARE PIN	NORTH DAKOTA
8	1356585293	OTHER	NORTH DAKOTA	BCBS OF ND
9	G44428	MEDICARE UPIN	NORTH DAKOTA
10	14991	MEDICAID	NORTH DAKOTA
11	P00779537	OTHER		RAIL ROAD MEDICARE
12	N714489	MEDICARE PIN	NORTH 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: 11/14/2023

NPI Synchronization or Removal

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