Medical Arts Outpatient Services, Inc.
Organization Active NPI Community/Retail Pharmacy · Minot, ND
NPI 1093764599 · NPPES record last updated Dec 29, 2025
Key facts
- NPI
- 1093764599
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 22 (ND)
- Legal business name
- MEDICAL ARTS OUTPATIENT SERVICES, INC.
- Practice address
- 400 Burdick Expy E
Suite 201
Minot, ND 58701-4768 - Phone
- (701) 857-7900
- Fax
- (701) 857-7834
- NPI assigned
- May 10, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- TRINITY HEALTH
Authorized official
- Name
- John M Kutch
- Title
- President & Ceo
- Phone
- (701) 418-8000
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 1
Member of 2
Practitioners 2
-
Kpah Charles Matadi Jr., PHARMD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930037894 | ND | DME Supplier - Pharmacy | 5799802062 | Practice locations: Minot, ND |
National Provider Directory
- Tax ID family
- Key Care Medical
- Part of
- Trinity Med Center Shee
Locations
2305 37th Ave SW
Ste 103
Minot, ND 58701
Phone (701) 857-7370
530 20th Ave SW
Minot, ND 58701
Phone (701) 857-7370
400 Burdick Expy E
Ste 201
Minot, ND 58701
Phone (701) 857-7900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | 22 | ND | Yes |
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
400 Burdick Expy E
Suite 201
Minot, ND 58701-4768
Mailing address
PO Box 2216
Minot, ND 58702-2216
Phone (701) 418-8000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1454946 | Medicaid | ND | |
| 3501384 | Other | ND | NABP |
| 20121 | Medicaid | ND | |
| 30751 | Other | ND | BLUE CROSS BLUE SHIELD |
Other names
- KeyCare Pharmacy
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Cobius Healthcare Solutions |
Other providers in Minot, ND
- Michael G McMahon
- Meadowlark Counseling PLLC
- Medcanvas Psychiatry PLLC
- Medcenter One Inc
- Rosina Bautista Medel
- Medical Arts Outpatient Services, Inc.
- Medical Arts Outpatient Services, Inc.
- Medical Arts Outpatient Services, Inc.
- Mardel O. Mehlhoff
- Mehring Psychological Services, PLC
All providers in Minot, ND · Community/Retail Pharmacy in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 29, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.