Minot State University

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

Legal business name

MINOT STATE UNIVERSITY

Practice address

500 University Ave W
Student Health Center
Minot, ND 58707-0001

Phone

(701) 858-3371

NPI assigned

Sep 27, 2012

Organization subpart

No

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

Authorized official

Name

Dr. David Fuller

Title

President

Phone

(701) 858-3000

Specialties & licenses 1

Addresses

Tax ID family

Minot State University2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Minot State University

  • Early Intervention Provider Agency
  • Minot, ND
  • NPI 1477153534
  NPD tax ID

Locations

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

{
    "created_epoch": "1348704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348704000000",
    "number": "1053662239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 UNIVERSITY AVE W",
            "address_2": "STUDENT HEALTH CENTER",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587070001",
            "telephone_number": "701-858-3371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 UNIVERSITY AVE W",
            "address_2": "STUDENT HEALTH CENTER",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587070001",
            "telephone_number": "701-858-3371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINOT STATE UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-27",
        "last_updated": "2012-09-27",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "701-858-3000",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Minot Health Clinic, PLLC
• Minot Public Schools
• Minot Public Schools
• Minot Rehabilitation and Care Center, LLC
• Minot Senior Living, LLC
• Minot State University
• Minot State University
• Minot Taxi Services
• Minot Voc Adj Workshop
• Minot Voc Adj Workshop

• Student Health Clinic/Center in Minot, ND
• Providers in Minot, ND by specialty
• Student Health Clinic/Center in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; 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.