NPIMap

Organization Active NPI

Medcenter One Occupational Health Clinic

  • Athletic Trainer
  • Bismarck, ND
National Provider Identifier
1710104906
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
246-01 Issued in ND
Legal business name
MEDCENTER ONE OCCUPATIONAL HEALTH CLINIC
Practice address
1833 E Bismarck Expy
Bismarck, ND 58504-6708
Phone
(701) 323-5222
NPI assigned
Apr 19, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Stephanie Murdock
Title
Executive Director
Phone
(701) 323-5222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 246-01 ND Primary

Addresses

Primary practice location

1833 E Bismarck Expy
Bismarck, ND 58504-6708

Mailing address

1833 E Bismarck Expy
Bismarck, ND 58504-6708
Phone (701) 323-5222

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

1833 E Bismarck Expy
Bismarck, ND 58504
Phone (701) 323-5222

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710104906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1833 E BISMARCK EXPY",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585046708",
            "telephone_number": "701-323-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1833 E BISMARCK EXPY",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585046708",
            "telephone_number": "701-323-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCENTER ONE OCCUPATIONAL HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MURDOCK",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "701-323-5222"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "ND",
            "license": "246-01",
            "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 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.