Glen Ullin Family Medical Center

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GLEN ULLIN FAMILY MEDICAL CENTER

Practice address

602 Ash Ave
Glen Ullin, ND 58631

Phone

(701) 348-9175

Fax

(701) 348-9177

NPI assigned

Jan 5, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thomas Nehring

Title

Cfo

Phone

(701) 873-4821

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Linda Duppong, PA-C

  • Physician Assistant
  • Glen Ullin, ND
  • NPI 1053399436
  NPD (past)

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023096419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5",
            "city": "GLEN ULLIN",
            "state": "ND",
            "postal_code": "586310005",
            "telephone_number": "701-348-9175",
            "fax_number": "701-348-9177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 ASH AVE",
            "city": "GLEN ULLIN",
            "state": "ND",
            "postal_code": "58631",
            "telephone_number": "701-348-9175",
            "fax_number": "701-348-9177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLEN ULLIN FAMILY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NEHRING",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "701-873-4821"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "ND",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Duppong, PA-C
• Sara Farrell, PT, DPT, CLT
• Lasheva M Gallant
• Suzanne Renae Gartner
• Glen Ullin Ambulance Service
• Glen Ullin Pharmacy LLC (Glen Ullin Pharmacy)
• Glen Ullin RHC
• Jacobson Memorial Hospital Care Center (Glen Ullin Family Medical Clinic)
• Kayla Kremers, OT
• Tyrone Langager, M.D.

• Family Medicine Physician in Glen Ullin, ND
• Providers in Glen Ullin, ND by specialty
• Family Medicine Physician in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.