Family Medical Clinic Pc | |
10 9th Ave E Lisbon ND 58054 | |
(701) 683-4711 | |
(701) 683-3205 |
Full Name | Family Medical Clinic Pc |
---|---|
Speciality | Family Medicine |
Location | 10 9th Ave E, Lisbon, North Dakota |
Authorized Official Name and Position | Barbara Sheets Olson (PRESIDENT) |
Authorized Official Contact | 7016834711 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Family Medical Clinic Pc 10 9th Ave E Po Box 1049 Lisbon ND 58054 Ph: (701) 683-4711 | Family Medical Clinic Pc 10 9th Ave E Lisbon ND 58054 Ph: (701) 683-4711 |
NPI Number | 1952331159 |
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Provider Enumeration Date | 07/04/2006 |
Last Update Date | 07/31/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952331159 | NPI | - | NPPES |
1956001 | Other | ND | NDBS |
05171 | Medicaid | ND | |
13746 | Medicaid | ND |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 4909 (North Dakota) | Primary |
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