Nw Family Practice Rogers

LBN: Nw Family Practice Rogers
Nw Family Practice Rogers is an health care organization with primary practice located at 21305 John Milless Dr , Rogers MN 55374-9450. The organization recently has only one registered license in Suppliers / Non-Pharmacy Dispensing Site, which is considered as the primary health care specialty. Nw Family Practice Rogers can be contacted via phone (612) 428-2206, or through Shackelford, Direndia via phone (800) 654-0889.

Contact Information

Primary practice address
21305 John Milless Dr Rogers MN 55374-9450
Phone: (612) 428-2206
Fax: (612) 428-2530
Website:
Map and Directions
Authorized official contact:
Name: Shackelford, Direndia
Phone: (800) 654-0889

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Non-Pharmacy Dispensing Site 332900000X 17330 Minnesota

Profile Details

NPI number 1093898322
LBN Legal business name Nw Family Practice Rogers
DBA Doing business as Nw Family Practice Rogers
Authorized official Shackelford, Direndia
Entity Organization
Organization subpart 1 No
Enumeration date Oct 23rd, 2006
Last updated Aug 22nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093898322 NPPES
Other 2423616 OTHER ID NUMBER-COMMERCIAL NUMBER

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