ST. ALEXIUS HEART & LUNG CLINIC LLC NPI 1194823021

NPI Information

NPI: 1194823021
Provider Name: ST. ALEXIUS HEART & LUNG CLINIC, LLC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
310 N 10TH ST
BISMARCK, ND
ZIP 58501
Phone: (701) 530-7500
Get Directions

ST. ALEXIUS HEART & LUNG CLINIC, LLC is a cardiovascular disease internal medicine in Bismarck, ND. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. ST. ALEXIUS HEART & LUNG CLINIC, LLC NPI is 1194823021. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

310 N 10TH ST
BISMARCK, ND
ZIP 58501-516
Phone: (701) 530-7500
Fax: (701) 530-7484

The provider's authorized official is Jennifer A Miller .
The authorized official title is Practice Director and has the following contact phone number (701) 530-7448.

The enumeration date for this NPI number is 9/21/2006 and was last updated on 12/10/2013.

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	Primary
1	207K00000X	Allergy & Immunology		No
2	207L00000X	Anesthesiology		No
3	207RP1001X	Internal Medicine	Pulmonary Disease	No
4	2085R0204X	Radiology	Vascular & Interventional Radiology	No
5	207RC0000X	Internal Medicine	Cardiovascular Disease	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	13317	MEDICAID	NORTH DAKOTA
2	711323	MEDICARE UPIN	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: 4/28/2024

NPI Synchronization or Removal

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