PETERSON MEDICAL CLINICS LLC NPI 1699295774

NPI Information

NPI: 1699295774
Provider Name: PETERSON MEDICAL CLINICS, LLC

Doing Business As: RURAL PSYCHIATRY ASSOCIATES

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
4700 S WASHINGTON ST STE G
GRAND FORKS, ND
ZIP 58201
Phone: (701) 205-3000
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PETERSON MEDICAL CLINICS, LLC is a multi-specialty clinic center in Grand Forks, ND. PETERSON MEDICAL CLINICS, LLC NPI is 1699295774. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Rural Psychiatry Associates.

The provider's business location address is:

4700 S WASHINGTON ST STE G
GRAND FORKS, ND
ZIP 58201-123
Phone: (701) 205-3000
Fax: (701) 732-2501

The provider's authorized official is Thomas M Peterson .
The authorized official title is Owner and has the following contact phone number (701) 205-3000.

The enumeration date for this NPI number is 6/21/2017 and was last updated on 4/16/2024.

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	2084P0800X	Psychiatry & Neurology	Psychiatry			No
2	261QM1300X	Clinic/Center	Multi-Specialty		NORTH DAKOTA	Yes

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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