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NORTHERN PLAINS SURGERY CENTER LLC NPI 1649350844


NPI Information

NPI: 1649350844
Provider Name: NORTHERN PLAINS SURGERY CENTER LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 35D0961049

Address:
44 4TH ST S
FARGO, ND
ZIP 58103
Phone: (701) 232-9200
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NORTHERN PLAINS SURGERY CENTER LLC is an ambulatory surgical clinic center in Fargo, ND. NORTHERN PLAINS SURGERY CENTER LLC NPI is 1649350844. The provider is registered as an organization entity type.

The provider's business location address is:

44 4TH ST S
FARGO, ND
ZIP 58103-904
Phone: (701) 232-9200

The provider's authorized official is Virginia L Moon .
The authorized official title is Insurance Coordinator and has the following contact phone number (701) 232-9200.

The CLIA number assigned to this NPI record is 35D0961049 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/16/2006 and was last updated on 11/13/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalNORTH DAKOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1N8619MEDICARE ID-TYPE UNSPECIFIEDNORTH DAKOTA
210941MEDICAIDNORTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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