Midgarden Family Clinic PC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

8012 Issued in ND

Legal business name

MIDGARDEN FAMILY CLINIC PC

Practice address

503 Park St W
Park River, ND 58270-4103

Phone

(701) 284-6663

Fax

(701) 284-6923

NPI assigned

Mar 24, 2009

Last updated

Jun 15, 2009By 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

Dr. Kristi Jean Midgarden, M.D.NPI 1841374030

Title

Owner

Phone

(701) 284-6663

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.

• Kristi J Midgarden, M.D.

  • Family Medicine Physician
  • Park River, ND
  • NPI 1841374030
  Authorized official Same address or phone

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

{
    "created_epoch": "1237852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245024000000",
    "number": "1619119591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 PARK ST W",
            "city": "PARK RIVER",
            "state": "ND",
            "postal_code": "582704103",
            "telephone_number": "701-284-6663",
            "fax_number": "701-284-6923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 PARK ST W",
            "city": "PARK RIVER",
            "state": "ND",
            "postal_code": "582704103",
            "telephone_number": "701-284-6663",
            "fax_number": "701-284-6923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDGARDEN FAMILY CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-24",
        "last_updated": "2009-06-15",
        "status": "A",
        "authorized_official_last_name": "MIDGARDEN",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-284-6663",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "ND",
            "license": "8012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerald Duane Larson, DDS
• Laurelyn Joann Larson
• Lifetime Dental Partners, PLLC
• Crystal A Lundmark
• Piper Luoto, PHARMD, RPH
• Kristi J Midgarden, M.D.
• P R Health Corporation (First Care RHC)
• P R Health Corporation (First Care Pharmacy)
• P R Health Corporation (First Care Swing Bed)
• P R Health Corporation (First Care Health Center)

• Health Service Clinic/Center in Park River, ND
• Providers in Park River, ND by specialty
• Health Service Clinic/Center in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2009; 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.