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JOHNSON CLINIC PC NPI 1609898600


NPI Information

NPI: 1609898600
Provider Name: JOHNSON CLINIC PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
800 3RD AVENUE SOUTHWEST
RUGBY, ND
ZIP 58368
Phone: (701) 776-5235
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JOHNSON CLINIC PC is a family medicine in Rugby, 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. JOHNSON CLINIC PC NPI is 1609898600. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

800 3RD AVENUE SOUTHWEST
RUGBY, ND
ZIP 58368
Phone: (701) 776-5235
Fax: (701) 776-5297

The provider's authorized official is Bonnie E Mattern .
The authorized official title is Administrator and has the following contact phone number (701) 776-5235.

The enumeration date for this NPI number is 7/25/2006 and was last updated on 11/23/2007.


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
1207R00000XInternal MedicineNo
2207Q00000XFamily MedicineYes

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
1353803MEDICARE OSCAR/CERTIFICATIONNORTH DAKOTA
2353838MEDICARE OSCAR/CERTIFICATIONNORTH DAKOTA
3353813MEDICARE OSCAR/CERTIFICATIONNORTH DAKOTA
40645970001MEDICARE NSCNORTH DAKOTA
5353804MEDICARE OSCAR/CERTIFICATIONNORTH DAKOTA
66214MEDICARE PINNORTH DAKOTA
710152MEDICAIDNORTH 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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