| Legacy Primary Care Pllc | |
|
2100 S Columbia Rd Ste 114 Grand Forks ND 58201-5895 | |
| (701) 516-4637 | |
| (877) 651-1381 |
| Full Name | Legacy Primary Care Pllc |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 2100 S Columbia Rd Ste 114, Grand Forks, North Dakota |
| Authorized Official Name and Position | Heidi Williams (CRED SPEC) |
| Authorized Official Contact | 6058468239 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Primary Care Pllc 19580 Scout Ln Saint Onge SD 57779-7913 Ph: () - | Legacy Primary Care Pllc 2100 S Columbia Rd Ste 114 Grand Forks ND 58201-5895 Ph: (701) 516-4637 |
| NPI Number | 1265277115 |
|---|---|
| Provider Enumeration Date | 07/01/2024 |
| Last Update Date | 07/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265277115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
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