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MID DAKOTA CLINIC MAMMOGRAPHY NPI 1801000294


NPI Information

NPI: 1801000294
Provider Name: MID DAKOTA CLINIC MAMMOGRAPHY
Classification: Clinic/Center - 261QR0206X
Entity Type: Organization

Specialization: Radiology, Mammography

Address:
401 N 9TH ST
BISMARCK, ND
ZIP 58501
Phone: (701) 530-6000
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MID DAKOTA CLINIC MAMMOGRAPHY is a radiology and mammography clinic center in Bismarck, ND. MID DAKOTA CLINIC MAMMOGRAPHY NPI is 1801000294. The provider is registered as an organization entity type.

The provider's business location address is:

401 N 9TH ST
BISMARCK, ND
ZIP 58501-530
Phone: (701) 530-6000
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 enumeration date for this NPI number is 5/9/2007 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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0206XClinic/CenterRadiology, Mammography125369NORTH DAKOTAYes

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
1125369OTHERCLIA #

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.