North Country Medical Clinic

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

NORTH COUNTRY MEDICAL CLINIC

Doing business as

Northern Medical Clinic

Practice address

619 5TH St NW
Bemidji, MN 56601-2914

Phone

(218) 751-4144

Fax

(218) 751-3545

NPI assigned

May 22, 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

Robyn Trepanier

Title

Clinic Manager

Phone

(218) 751-4144

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Northern Medical Clinic Doing business as

Locations

Practitioners 4

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.

• Sebastian R. Mangiamele, M.D.

  • General Practice Physician
  • Bemidji, MN
  • NPI 1710944475
  NPD (past)
• Catherine Morud, NP

  • Family Medicine Physician
  • Cass Lake, MN
  • NPI 1962509059
  NPD (past)
• Dong Sik Cho, MD

  • Physical Medicine & Rehabilitation Physician
  • Hammond, LA
  • NPI 1306940036
  NPD (past)
• Nuzhat S Majid, MD

  • Family Medicine Physician
  • Sacramento, CA
  • NPI 1073578225
  NPD (past)

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316991334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3157",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566193157",
            "telephone_number": "218-751-4144",
            "fax_number": "218-751-3545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 5TH ST NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566012914",
            "telephone_number": "218-751-4144",
            "fax_number": "218-751-3545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COUNTRY MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TREPANIER",
        "authorized_official_first_name": "ROBYN",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "218-751-4144"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN BLUECROSS BLUESHIELD",
            "identifier": "83355NO",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN HEALTHPARTNERS",
            "identifier": "36304",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CC7546",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northern Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marty L. Nolte, R.D.
• Margaret Nordquist, CHW CERTIFICATE
• North Country Dental Service
• North Country Health Services (North Country Regional Hospital)
• North Country Health Services (North Country Regional Hospital)
• Northern Lakes Clinic, Inc. (Northern Lakes Clinic)
• Northern Lakes Clinic, Inc. (Northern Lakes Clinic)
• Northern Minnesota Addiction Wellness Center
• Northern Safety & Security LLC
• Northern Therapy and Consulting, LLC

• Clinic/Center in Bemidji, MN
• Providers in Bemidji, MN by specialty
• Clinic/Center in Minnesota

• 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.