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GREAT PLAINS CLINIC P.C. NPI 1801092358


NPI Information

NPI: 1801092358
Provider Name: GREAT PLAINS CLINIC P.C.
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
33 9TH ST W
DICKINSON, ND
ZIP 58601
Phone: (701) 483-6017
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GREAT PLAINS CLINIC P.C. is an ambulatory surgical clinic center in Dickinson, ND. GREAT PLAINS CLINIC P.C. NPI is 1801092358. The provider is registered as an organization entity type.

The provider's business location address is:

33 9TH ST W
DICKINSON, ND
ZIP 58601-950
Phone: (701) 483-6017
Fax: (701) 483-5018

The provider's authorized official is Becky S Roshau .
The authorized official title is Office Supervisor and has the following contact phone number (701) 456-5115.

The enumeration date for this NPI number is 6/22/2007 and was last updated on 6/18/2009.


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
1261QA1903XClinic/CenterAmbulatory SurgicalNORTH 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
117984MEDICAIDNORTH DAKOTA
2N8602MEDICARE PINNORTH 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: 11/14/2023

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