Provider Type Icon

RED RIVER FAMILY MEDICINE PC NPI 1831312750


NPI Information

NPI: 1831312750
Provider Name: RED RIVER FAMILY MEDICINE, PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
300 MAIN AVE
SUITE 200
FARGO, ND
ZIP 58103
Phone: (701) 499-4340
Get Directions

RED RIVER FAMILY MEDICINE, PC is a family medicine in Fargo, 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. RED RIVER FAMILY MEDICINE, PC NPI is 1831312750. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

300 MAIN AVE
SUITE 200
FARGO, ND
ZIP 58103-930
Phone: (701) 499-4340
Fax: (701) 499-4341

The provider's authorized official is Shantell Marie Twobears .
The authorized official title is President and has the following contact phone number (701) 499-4340.

The enumeration date for this NPI number is 4/10/2007 and was last updated on 8/27/2007.


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
1363LF0000XNurse PractitionerFamilyR28446NORTH DAKOTANo
2207Q00000XFamily Medicine7807NORTH 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
198-98110OTHERMEDICA
206960/001OTHERNORTH DAKOTABLUE CROSS BLUE SHIELD
3931G4REOTHERMINNESOTABLUE CROSS BLUE SHIELD
413172OTHERHEALTHPARTNERS
5712604MEDICARE PINNORTH DAKOTA
614245MEDICAIDNORTH 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

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.