Medcenter One Inc
Organization Active NPI Family Medicine Physician · Bismarck, ND
NPI 1881739977 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1881739977
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- MEDCENTER ONE INC
- Practice address
- 1040 Tacoma Ave
Bismarck, ND 58504 - Phone
- (701) 323-6990
- Fax
- (701) 323-5709
- NPI assigned
- Feb 20, 2007
- Organization subpart
- No
Authorized official
- Name
- Leigh Ann Thompson
- Title
- Director of Clinic Finance
- Phone
- (701) 323-6000
Corporate family (same tax ID) 30
National Provider Directory
- Tax ID family
- Clark O Taylor DDS
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | ND | Yes |
Addresses
Primary practice location
1040 Tacoma Ave
Bismarck, ND 58504
Mailing address
PO Box 5501
Bismarck, ND 58506-5501
Phone (701) 323-6000
Other names
- MEDCENTER ONE BISMARCK FAMILY CLINIC SOUTH
Other providers in Bismarck, ND
- Medcenter One
- Medcenter One
- Medcenter One Health Systems DME
- Medcenter One Inc
- Medcenter One Inc
- Medcenter One Inc
- Medcenter One Inc.
- Medcenter One Inc.
- Medcenter One Occupational Health Clinic
- Medcenter One, Inc.
All providers in Bismarck, ND · Family Medicine Physician in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.