Southeast Medical Center Pc

LBN: Southeast Medical Center Pc
Southeast Medical Center Pc is an health care organization with primary practice located at 102 10Th Avenue West , Lisbon ND 58054-1097. The organization recently has only one registered license in Ambulatory Health Care Facilities / Community Health, which is considered as the primary health care specialty. Southeast Medical Center Pc can be contacted via phone (701) 683-2214, or through Kelly, Theresa via phone (701) 742-3267.

Contact Information

Primary practice address
102 10Th Avenue West Lisbon ND 58054-1097
Phone: (701) 683-2214
Fax: (701) 683-2130
Website:
Map and Directions
Authorized official contact:
Name: Kelly, Theresa
Phone: (701) 742-3267

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Community Health 261QC1500X

Profile Details

NPI number 1124034509
LBN Legal business name Southeast Medical Center Pc
DBA Doing business as
Authorized official Kelly, Theresa
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 31st, 2006
Last updated Jun 9th, 2009 - about 16 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 1124034509 NPPES
North Dakota MEDICAID 10336
North Dakota Other 6638001
North Dakota Other CF8850

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