Susan M Mathison Md Ltd

LBN: Catalyst Medical Center Pc
Susan M Mathison Md Ltd is an health care organization with primary practice located at 1800 21St Ave S , Fargo ND 58103. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as the primary health care specialty. Catalyst Medical Center Pc can be contacted via phone (701) 365-8700, or through Mathison, Susan M via phone (701) 365-8700.

Contact Information

Primary practice address
1800 21St Ave S Fargo ND 58103
Phone: (701) 365-8700
Fax: (701) 365-8701
Website:
Map and Directions
Authorized official contact:
Name: Mathison, Susan M Doctor of Medicine (MD)
Phone: (701) 365-8700

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X

Profile Details

NPI number 1043378268
LBN Legal business name Catalyst Medical Center Pc
DBA Doing business as Susan M Mathison Md Ltd
Authorized official Mathison, Susan M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 4th, 2006
Last updated May 1st, 2009 - about 17 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1043378268 NPPES
North Dakota MEDICAID 13515
North Dakota Other C04026

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