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THE SUNSHINE CLINIC PLLC NPI 1366965170


NPI Information

NPI: 1366965170
Provider Name: THE SUNSHINE CLINIC PLLC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
503 3RD ST NE
DEVILS LAKE, ND
ZIP 58301
Phone: (701) 662-4300
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THE SUNSHINE CLINIC PLLC is a clinic center in Devils Lake, ND. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). THE SUNSHINE CLINIC PLLC NPI is 1366965170. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

503 3RD ST NE
DEVILS LAKE, ND
ZIP 58301-015
Phone: (701) 662-4300
Fax: (701) 662-4322

The provider's authorized official is Rita Nalubega .
The authorized official title is Md and has the following contact phone number (701) 662-4300.

The enumeration date for this NPI number is 7/24/2017 and was last updated on 1/7/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineNo
2261Q00000XClinic/CenterYes

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
11457426MEDICAIDNORTH 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

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