| Essentia Health Mid Dakota Bismarck 9th St Clinic | |
|
401 N 9th St Bismarck ND 58501-4530 | |
| (701) 712-4500 | |
| Not Available |
| Full Name | Essentia Health Mid Dakota Bismarck 9th St Clinic |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 401 N 9th St, Bismarck, North Dakota |
| Authorized Official Name and Position | Alan Hurley (COO) |
| Authorized Official Contact | 7013647667 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Essentia Health Mid Dakota Bismarck 9th St Clinic 1702 University Dr S Atn: Med Staff Services-ssc Fargo ND 58103-4940 Ph: () - | Essentia Health Mid Dakota Bismarck 9th St Clinic 401 N 9th St Bismarck ND 58501-4530 Ph: (701) 712-4500 |
| NPI Number | 1053039032 |
|---|---|
| Provider Enumeration Date | 08/16/2022 |
| Last Update Date | 03/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053039032 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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