Red River Family Medicine, Pc

LBN: Red River Family Medicine, Pc
Red River Family Medicine, Pc is an health care organization with primary practice located at 300 Main Ave Suite 200, Fargo ND 58103-1930. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Red River Family Medicine, Pc can be contacted via phone (701) 499-4340, or through Twobears, Shantell Marie via phone (701) 499-4340.

Contact Information

Primary practice address
300 Main Ave Suite 200 Fargo ND 58103-1930
Fax: (701) 499-4341
Website:
Authorized official contact:
Name: Twobears, Shantell Marie Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 7807 North Dakota
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R28446 North Dakota

Profile Details

NPI number 1831312750
LBN Legal business name Red River Family Medicine, Pc
DBA Doing business as
Authorized official Twobears, Shantell Marie Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 10th, 2007
Last updated Aug 27th, 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 1831312750 NPPES
Minnesota Other 931G4RE BLUE CROSS BLUE SHIELD
Minnesota Other 98-98110 BLUE CROSS BLUE SHIELD
Minnesota Other 13172 BLUE CROSS BLUE SHIELD
Minnesota MEDICAID 14245 BLUE CROSS BLUE SHIELD
Minnesota Other 06960/001 BLUE CROSS BLUE SHIELD

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