Organization Active NPI

Linda F Gourneau MD PC

  • Health Service Clinic/Center
  • Bismarck, ND
National Provider Identifier
1003989252
Registry record updated Oct 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
6022 Issued in ND
Legal business name
LINDA F GOURNEAU MD PC
Practice address
300 W Century Ave
Bismarck, ND 58503-1401
Phone
(701) 323-9900
Fax
(701) 323-9911
NPI assigned
Nov 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Linda F Gourneau, M.D.
Title
Owner
Phone
(701) 323-9900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 6022 ND Primary

Addresses

Primary practice location

300 W Century Ave
Bismarck, ND 58503-1401

Mailing address

300 W Century Ave
Bismarck, ND 58503-1401
Phone (701) 323-9900

Other identifiers 1

IdentifierTypeStateIssuer
27069OtherNDBCBS #

Other names 1

  • Natural Journey Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191283200000",
    "number": "1003989252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W CENTURY AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585031401",
            "telephone_number": "701-323-9900",
            "fax_number": "701-323-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W CENTURY AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585031401",
            "telephone_number": "701-323-9900",
            "fax_number": "701-323-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDA F GOURNEAU MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-10-02",
        "status": "A",
        "authorized_official_last_name": "GOURNEAU",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-323-9900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "ND",
            "license": "6022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS #",
            "identifier": "27069",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Natural Journey",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bismarck, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.