NPIMap

Organization Active NPI

Southwest Health Care Services

Doing business as Southwest Medical Clinic

  • Clinic/Center
  • Bowman, ND
National Provider Identifier
1023083714
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SOUTHWEST HEALTH CARE SERVICES
Doing business as
Southwest Medical Clinic
Practice address
802 2ND St NW
Bowman, ND 58623-4483
Phone
(701) 523-5555
Fax
(701) 523-7107
NPI assigned
Feb 17, 2006
Last updated
Jun 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Authorized official

Name
Mrs. Lisa Knopp
Title
Clinic Manager
Phone
(701) 523-5555

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary
Rural Health Clinic/Center 261QR1300X NU

Addresses

Primary practice location

802 2ND St NW
Bowman, ND 58623-4483

Mailing address

802 2ND St NW Ste 1
Bowman, ND 58623-4469
Phone (701) 523-5555

Other identifiers 2

IdentifierTypeStateIssuer
1134779-00MedicaidMN
11469MedicaidND

Other names 1

  • Southwest Medical Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041005000745 ND Part B Supplier - Clinic/Group Practice 3173512704 Receives reassigned benefits from 11 practitioners
Practice locations: Bowman, ND

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

802 2nd St NW
Ste 1
Bowman, ND 58623
Phone (701) 523-5555

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782777600000",
    "number": "1023083714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 2ND ST NW STE 1",
            "city": "BOWMAN",
            "state": "ND",
            "postal_code": "586234469",
            "telephone_number": "701-523-5555",
            "fax_number": "701-523-7107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 2ND ST NW",
            "city": "BOWMAN",
            "state": "ND",
            "postal_code": "586234483",
            "telephone_number": "701-523-5555",
            "fax_number": "701-523-7107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST HEALTH CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-17",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A",
        "authorized_official_last_name": "KNOPP",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "701-523-5555",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134779-00",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11469",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwest Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bowman, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.