Comprehensive Pediatric Care, P. C.

LBN: Comprehensive Pediatric Care, P. C.
Comprehensive Pediatric Care, P. C. is an health care organization with primary practice located at 1411 W Dakota Pkwy Ste 2A , Williston ND 58801-3854. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Comprehensive Pediatric Care, P. C. can be contacted via phone (701) 572-7732, or through Finley, Glen W via phone (701) 572-7732.

Contact Information

Primary practice address
1411 W Dakota Pkwy Ste 2A Williston ND 58801-3854
Phone: (701) 572-7732
Fax: (701) 572-7997
Website:
Map and Directions
Authorized official contact:
Name: Finley, Glen W
Phone: (701) 572-7732

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1245309780
LBN Legal business name Comprehensive Pediatric Care, P. C.
DBA Doing business as
Authorized official Finley, Glen W
Entity Organization
Organization subpart 1 No
Enumeration date Nov 7th, 2006
Last updated Jun 16th, 2009 - about 15 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 1245309780 NPPES
North Dakota Other 05412001 BLUE SHIELD
North Dakota MEDICAID 12772 BLUE SHIELD

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