BISMARCK SURGICAL ASSOCIATES LLC NPI 1255339628

NPI Information

NPI: 1255339628
Provider Name: BISMARCK SURGICAL ASSOCIATES, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 35D0955738

Address:
106 E GREENFIELD LN
BISMARCK, ND
ZIP 58503
Phone: (701) 221-2299
Get Directions

BISMARCK SURGICAL ASSOCIATES, LLC is an ambulatory surgical clinic center in Bismarck, ND. BISMARCK SURGICAL ASSOCIATES, LLC NPI is 1255339628. The provider is registered as an organization entity type.

The provider's business location address is:

106 E GREENFIELD LN
BISMARCK, ND
ZIP 58503-578
Phone: (701) 221-2299
Fax: (701) 323-3388

The provider's authorized official is Attas Boutrous .
The authorized official title is Administrator and has the following contact phone number (701) 221-2299.

The CLIA number assigned to this NPI record is 35D0955738 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/11/2005 and was last updated on 10/24/2019.

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	261QM1300X	Clinic/Center	Multi-Specialty			No
2	261QA1903X	Clinic/Center	Ambulatory Surgical		NORTH DAKOTA	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	5490260	MEDICAID	SOUTH DAKOTA
2	1462920	MEDICAID	NORTH DAKOTA
3	10864	MEDICAID	NORTH DAKOTA
4	8618	OTHER	NORTH DAKOTA	BCBS
5	490004061	OTHER	NORTH DAKOTA	RAILROAD MEDICARE

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »