| Medcenter One Bismarck Family Clinic South | |
|
1040 Tacoma Ave Bismarck ND 58504 | |
| (701) 323-6990 | |
| (701) 323-5709 |
| Full Name | Medcenter One Bismarck Family Clinic South |
|---|---|
| Speciality | Family Medicine |
| Location | 1040 Tacoma Ave, Bismarck, North Dakota |
| Authorized Official Name and Position | Leigh Ann Thompson (DIRECTOR OF CLINIC FINANCE) |
| Authorized Official Contact | 7013236000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medcenter One Bismarck Family Clinic South Po Box 5501 Bismarck ND 58506-5501 Ph: (701) 323-6000 | Medcenter One Bismarck Family Clinic South 1040 Tacoma Ave Bismarck ND 58504 Ph: (701) 323-6990 |
| NPI Number | 1881739977 |
|---|---|
| Provider Enumeration Date | 02/20/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881739977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (North Dakota) | Primary |
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