Balm Of Gilead Healthcare Clinic Llc

LBN: Balm Of Gilead Healthcare Clinic Llc
Balm Of Gilead Healthcare Clinic Llc is an health care organization with primary practice located at 1618 Central Ave Ne , East Grand Forks MN 56721-1335. The organization recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is the primary health care specialty. Balm Of Gilead Healthcare Clinic Llc can be contacted via phone (218) 779-9437, or through Fondong, Muluh Fongwi Laduna via phone (218) 779-9437.

Contact Information

Primary practice address
1618 Central Ave Ne East Grand Forks MN 56721-1335
Phone: (218) 779-9437
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fondong, Muluh Fongwi Laduna
Phone: (218) 779-9437

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X

Profile Details

NPI number 1154022895
LBN Legal business name Balm Of Gilead Healthcare Clinic Llc
DBA Doing business as
Authorized official Fondong, Muluh Fongwi Laduna
Entity Organization
Organization subpart 1 No
Enumeration date Mar 10th, 2023
Last updated Mar 10th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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