Grube Retina Clinic Pc

LBN: Grube Retina Clinic Pc
Grube Retina Clinic Pc is an health care organization with primary practice located at 107 3Rd Ave Nw , Mandan ND 58554-3129. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Grube Retina Clinic Pc can be contacted via phone (701) 751-2131, or through Grube, Thomas James via phone (701) 214-7879.

Contact Information

Primary practice address
107 3Rd Ave Nw Mandan ND 58554-3129
Phone: (701) 751-2131
Fax: (701) 751-2133
Website:
Map and Directions
Authorized official contact:
Name: Grube, Thomas James Doctor of Medicine (MD)
Phone: (701) 214-7879

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 9201 North Dakota

Profile Details

NPI number 1528389871
LBN Legal business name Grube Retina Clinic Pc
DBA Doing business as
Authorized official Grube, Thomas James Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2010
Last updated Apr 27th, 2020 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1528389871 NPPES
North Dakota MEDICAID 1659328516

Popular Providers