Walls Medicine Center

LBN: Walls Medicine Center Inc
Walls Medicine Center is an health care organization with primary practice located at 708 S Washington St , Grand Forks ND 58201-4328. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Walls Medicine Center Inc can be contacted via phone (701) 746-0497, or through Johnson, Dennis Paul via phone (701) 746-0497.

Contact Information

Primary practice address
708 S Washington St Grand Forks ND 58201-4328
Phone: (701) 746-0497
Fax: (701) 746-7908
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Dennis Paul
Phone: (701) 746-0497

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1407946338
LBN Legal business name Walls Medicine Center Inc
DBA Doing business as Walls Medicine Center
Authorized official Johnson, Dennis Paul
Entity Organization
Organization subpart 1 No
Enumeration date Oct 13th, 2006
Last updated Jun 11th, 2024 - about 6 months 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 1407946338 NPPES
Minnesota MEDICAID 927357300
Minnesota MEDICAID 20719
Minnesota Other 2071242

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