Johnson Clinic Pc

LBN: Johnson Clinic Pc
Johnson Clinic Pc is an health care organization with primary practice located at 800 3Rd Avenue Southwest , Rugby ND 58368. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Johnson Clinic Pc can be contacted via phone (701) 776-5235, or through Mattern, Bonnie E via phone (701) 776-5235.

Contact Information

Primary practice address
800 3Rd Avenue Southwest Rugby ND 58368
Phone: (701) 776-5235
Fax: (701) 776-5297
Website:
Map and Directions
Authorized official contact:
Name: Mattern, Bonnie E
Phone: (701) 776-5235

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1609898600
LBN Legal business name Johnson Clinic Pc
DBA Doing business as
Authorized official Mattern, Bonnie E
Entity Organization
Organization subpart 1 No
Enumeration date Jul 25th, 2006
Last updated Nov 23rd, 2007 - about 18 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 1609898600 NPPES
North Dakota MEDICAID 10152

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