Internal Medicine Associates Inc
LBN: Internal Medicine Associates Inc
Internal Medicine Associates Inc is an health care organization with primary practice located at 4450 31St Ave S Ste 102 , Fargo ND 58104-4557. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty.
Internal Medicine Associates Inc can be contacted via phone (701) 280-2033, or through Lillestol, Michael J via phone (701) 280-2033.
Contact Information
Primary practice address
4450 31St Ave S Ste 102
Fargo ND 58104-4557
Phone: (701) 280-2033
Fax: (701) 232-5578
Website:
Authorized official contact:
Name: Lillestol, Michael J Doctor of Medicine (MD)
Phone: (701) 280-2033
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X |
Profile Details
| NPI number | 1144313743 |
|---|---|
| LBN Legal business name | Internal Medicine Associates Inc |
| DBA Doing business as | |
| Authorized official | Lillestol, Michael J Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Mar 23rd, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144313743 | NPPES |
| Minnesota | Other | 162D7IN | MN BLUE SHIELD |
| Minnesota | MEDICAID | 301713300 | MN BLUE SHIELD |
| Minnesota | MEDICAID | 11941 | MN BLUE SHIELD |
| Minnesota | Other | 05595001 | MN BLUE SHIELD |
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