NPIMap

Organization Active NPI

University North Dakota

  • Student Health Clinic/Center
  • Grand Forks, ND
National Provider Identifier
1922067305
Registry record updated Dec 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
UNIVERSITY NORTH DAKOTA
Practice address
McCannel Hall Room 100
2891 2ND Avenue North Stop 9038
Grand Forks, ND 58202-9038
Phone
(701) 777-4500
Fax
(701) 777-4835
NPI assigned
Mar 22, 2006
Last updated
Dec 12, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2017

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

Authorized official

Name
Katrina Landman
Title
Admin
Phone
(701) 777-4845

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X NU Primary

Addresses

Primary practice location

McCannel Hall Room 100
2891 2ND Avenue North Stop 9038
Grand Forks, ND 58202-9038

Mailing address

McCannel Hall Room 100
2891 2ND Avenue North Stop 9038
Grand Forks, ND 58202-9038
Phone (701) 777-4500

Other identifiers 1

IdentifierTypeStateIssuer
1922067305OtherCLINIC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040204000241 ND Part B Supplier - Clinic/Group Practice 2961395934 Receives reassigned benefits from 48 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bismarck, ND; Grand Forks, ND; Minot, ND

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Bismark Family Practice14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513036800000",
    "number": "1922067305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MCCANNEL HALL ROOM 100",
            "address_2": "2891 2ND AVENUE NORTH STOP 9038",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582029038",
            "telephone_number": "701-777-4500",
            "fax_number": "701-777-4835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MCCANNEL HALL ROOM 100",
            "address_2": "2891 2ND AVENUE NORTH STOP 9038",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582029038",
            "telephone_number": "701-777-4500",
            "fax_number": "701-777-4835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY NORTH DAKOTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-22",
        "last_updated": "2017-12-12",
        "status": "A",
        "authorized_official_last_name": "LANDMAN",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "701-777-4845"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINIC",
            "identifier": "1922067305",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Forks, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.