NPIMap

Organization Active NPI

Sanford Bismarck

Doing business as Mobile Med

  • Occupational Medicine Clinic/Center
  • Bismarck, ND
National Provider Identifier
1790197671
Registry record updated May 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
Legal business name
SANFORD BISMARCK
Doing business as
Mobile Med
Practice address
2603 E Broadway Ave
Bismarck, ND 58501-5107
Phone
(701) 323-5222
Fax
(701) 323-5867
NPI assigned
May 27, 2014
Last updated
May 27, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2014

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

Authorized official

Name
Stephanie Murdock
Title
Enterprise Vice President
Phone
(701) 323-5733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X Primary

Addresses

Primary practice location

2603 E Broadway Ave
Bismarck, ND 58501-5107

Mailing address

2603 E Broadway Ave
Bismarck, ND 58501-5107
Phone (701) 323-5222

Other names 1

  • Mobile Med Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Med Center One Inc31 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

NPI Registry JSON

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

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401148800000",
    "number": "1790197671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 E BROADWAY AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585015107",
            "telephone_number": "701-323-5222",
            "fax_number": "701-323-5867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 E BROADWAY AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585015107",
            "telephone_number": "701-323-5222",
            "fax_number": "701-323-5867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANFORD BISMARCK",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-27",
        "last_updated": "2014-05-27",
        "status": "A",
        "authorized_official_last_name": "MURDOCK",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "ENTERPRISE VICE PRESIDENT",
        "authorized_official_telephone_number": "701-323-5733"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mobile Med",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 27, 2014; 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.