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
Phone: (701) 499-4340
Fax: (701) 499-4341
Website:
Authorized official contact:
Name: Twobears, Shantell Marie Doctor of Medicine (MD)
Phone: (701) 499-4340
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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