Aurora Clinic

LBN: Northland Family Physicians Llc
Aurora Clinic is an health care organization with primary practice located at 2650 32Nd Ave S Ste D , Grand Forks ND 58201-6541. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Northland Family Physicians Llc can be contacted via phone (701) 732-2700, or through Peterson, Mark G via phone (701) 732-2700.

Contact Information

Primary practice address
2650 32Nd Ave S Ste D Grand Forks ND 58201-6541
Fax: (701) 732-2701
Website:
Authorized official contact:
Name: Peterson, Mark G Doctor of Medicine (MD)

Health care specialties

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

Profile Details

NPI number 1215990791
LBN Legal business name Northland Family Physicians Llc
DBA Doing business as Aurora Clinic
Authorized official Peterson, Mark G Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 7th, 2006
Last updated Jul 21st, 2022 - about 3 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 1215990791 NPPES
North Dakota MEDICAID 13638
North Dakota MEDICAID 057629800
North Dakota Other 6692001
North Dakota Other 269P4NO

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