MID DAKOTA CLINIC INC. NPI 1366484404

NPI Information

MID DAKOTA CLINIC, INC. is an ambulatory surgical clinic center in Bismarck, ND. MID DAKOTA CLINIC, INC. NPI is 1366484404. The provider is registered as an organization entity type.

The provider's business location address is:

401 N 9TH ST
BISMARCK, ND
ZIP 58501-507
Phone: (701) 530-6100
Fax: (701) 530-6430

The provider's authorized official is William Heegaard .
The authorized official title is President and has the following contact phone number (701) 364-4554.

The CLIA number assigned to this NPI record is 35D1045420 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/12/2006 and was last updated on 10/25/2022.

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:

Other Identifiers

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