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PHOENIX HEALTH ENTERPRISES NPI 1730856253


NPI Information

NPI: 1730856253
Provider Name: PHOENIX HEALTH ENTERPRISES

Doing Business As: HEALTH NOW

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 35D2235208

Address:
705 E MAIN AVE
BISMARCK, ND
ZIP 58501
Phone: (701) 502-4669
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PHOENIX HEALTH ENTERPRISES is a primary care clinic center in Bismarck, ND. PHOENIX HEALTH ENTERPRISES NPI is 1730856253. The provider is registered as an organization entity type.
The provider Is Doing Business As Health Now.

The provider's business location address is:

705 E MAIN AVE
BISMARCK, ND
ZIP 58501-525
Phone: (701) 502-4669
Fax: (833) 490-3699

The provider's authorized official is Mckenzie Reile Peterson .
The authorized official title is Owner and has the following contact phone number (701) 502-4669.

The CLIA number assigned to this NPI record is 35D2235208 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/23/2021 and was last updated on 9/28/2021.


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
1261QP2300XClinic/CenterPrimary CareYes

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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