North Valley Family Medicine Clinic PLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NORTH VALLEY FAMILY MEDICINE CLINIC PLC

Practice address

929 Central Ave NW
East Grand Forks, MN 56721-1917

Phone

(218) 773-6800

Fax

(218) 773-6861

NPI assigned

May 28, 2006

Organization subpart

No

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

Authorized official

Name

Thomas Bradley Cariveau, MD

Title

President

Phone

(218) 773-6800

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790732394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1298 BURBANK",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582013712",
            "telephone_number": "701-772-7758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 CENTRAL AVE NW",
            "city": "EAST GRAND FORKS",
            "state": "MN",
            "postal_code": "567211917",
            "telephone_number": "218-773-6800",
            "fax_number": "218-773-6861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH VALLEY FAMILY MEDICINE CLINIC PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARIVEAU",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "BRADLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "218-773-6800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Morgan, DPT
• Patricia Motl, PHARMD, RPH
• Hannah Hillis Nelson
• Melanie Mae Nelson, SLP
• Chukwuka Oscar Nnoli, PA-C
• Ross Dean Nygaard, PHARM.D.
• Donna Mae O'Malley, LADC
• Kaitlyn Olschlager
• Candice R Olson, FNP-C
• Kate Marie Overgaard, PMHNP-BC

• Family Medicine Physician in East Grand Forks, MN
• Providers in East Grand Forks, MN by specialty
• Family Medicine Physician 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.