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REGIONAL MEDICAL CENTER PC NPI 1578594016


NPI Information

NPI: 1578594016
Provider Name: REGIONAL MEDICAL CENTER PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
2008 TWIN CITY DR
MANDAN, ND
ZIP 58554
Phone: (701) 667-1000
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REGIONAL MEDICAL CENTER PC is a family medicine in Mandan, ND. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. REGIONAL MEDICAL CENTER PC NPI is 1578594016. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2008 TWIN CITY DR
MANDAN, ND
ZIP 58554-820
Phone: (701) 667-1000
Fax: (701) 667-0707

The provider's authorized official is Vicki L Boehm .
The authorized official title is Business Manager and has the following contact phone number (701) 667-1022.

The enumeration date for this NPI number is 7/5/2006 and was last updated on 8/14/2009.


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
1207Q00000XFamily Medicine4124NORTH DAKOTAYes

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
11051140001OTHERNORTH DAKOTADMERC CIGNA
2C52498OTHERNORTH DAKOTAPALMETTO GBA
313249MEDICAIDNORTH DAKOTA
4=========OTHERNORTH DAKOTAND WORK FORCE SAFETY
5711318MEDICARE ID-TYPE UNSPECIFIEDNORTH DAKOTAMEDICARE
67709620OTHERSOUTH DAKOTASD MEDICAID

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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