Organization Active NPI

Medcenter One Inc.

  • Clinic/Center
  • Bismarck, ND
National Provider Identifier
1346299336
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
R27183 Issued in ND
Legal business name
MEDCENTER ONE INC.
Practice address
512 N 7TH St
Bismarck, ND 58501-4425
Phone
(701) 323-6276
NPI assigned
May 8, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Shih-Ru Martin, MSN, FNP
Title
NP
Phone
(701) 323-6276

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X R27183 ND Primary

Addresses

Primary practice location

512 N 7TH St
Bismarck, ND 58501-4425

Mailing address

5654 Falconer Dr
Bismarck, ND 58504-3179
Phone (701) 323-6276

National Provider Directory

National Provider Directory
Tax ID family
Robert a Vigesaa MD31 organizations share this tax ID, including this one

Other organizations with this tax ID 30

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

View all 30

Locations

512 N 7th St
Bismarck, ND 58501
Phone (701) 323-6276

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1346299336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5654 FALCONER DR",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585043179",
            "telephone_number": "701-323-6276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 N 7TH ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585014425",
            "telephone_number": "701-323-6276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCENTER ONE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "SHIH-RU",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "701-323-6276",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSN, FNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "ND",
            "license": "R27183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.