Sedra Medical Clinic Plc

LBN: Sedra Medical Clinic Plc
Sedra Medical Clinic Plc is an health care organization with primary practice located at 213 Labree Ave N Suite #207, Thief River Falls MN 56701-2022. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Sedra Medical Clinic Plc can be contacted via phone (218) 683-5137, or through Sedra, Hazem via phone (218) 683-5137.

Contact Information

Primary practice address
213 Labree Ave N Suite #207 Thief River Falls MN 56701-2022
Phone: (218) 683-5137
Fax: (218) 683-5413
Website:
Map and Directions
Authorized official contact:
Name: Sedra, Hazem Doctor of Medicine (MD)
Phone: (218) 683-5137

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 47271 Minnesota

Profile Details

NPI number 1972840064
LBN Legal business name Sedra Medical Clinic Plc
DBA Doing business as
Authorized official Sedra, Hazem Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 9th, 2013
Last updated Jan 9th, 2013 - about 11 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 1972840064 NPPES
Minnesota Other 1669408753 INDIVIDUAL NPI
Minnesota MEDICAID 590610500 INDIVIDUAL NPI

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