Northland Family Physicians Llc, NPI 1215990791
Clinic/Center in Grand Forks, ND, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1215990791
NPI Entity Type Organization
Provider Name Northland Family Physicians Llc
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 2650 32nd Ave S Ste D, Grand Forks, ND, US
Provider Mailing Address Po Box 5210, Grand Forks, ND, US, 582065210
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name DR. MD Mark G Peterson
Official Position PRESIDENT
Phone 701-732-2700

Primary Taxonomy

Taxonomy Code

261Q00000X

Taxonomy Name Clinic/Center
Classification

Clinic/Center

Group

Ambulatory Health Care Facilities

License State ND
Description A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Other Organization Name

Aurora Clinic
Doing Business As

Business Address

Northland Family Physicians Llc
2650 32nd Ave S Ste D

Grand Forks, ND, US

Phone: 701-732-2700
Fax: 701-732-2701

Mailing Address

Northland Family Physicians Llc
Po Box 5210
Grand Forks, ND, US
ZIP 582065210

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
13638 ND MEDICAID 05
057629800 MN MEDICAID 05
6692001 ND BCBS OF ND 01
269P4NO MN BCBS OF MN 01

Other Providers in ND, US

NPI Name Taxonomy Address

1417688698

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FNP-C Danielle Joyce

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MD Dalton Toay

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Occupational Medicine Physician

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AGNP Jessica Swingen

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LCWS Samantha Navratil

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Ste B

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LPCC Naomi Tabassum

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Mental Health Counselor

1330 23rd St S

Ste B

Fargo, ND

1295739233

DR. D.D.S. Edward Francis May

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West Fargo, ND

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MR. LCSW Anthony Miller

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LPCC Trista Schon

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Professional Counselor

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DR. DDS Jason O Dahl

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Dickinson, ND

1104253038

LPCC Ashley Vogel

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1330 23rd St S

Ste B

Fargo, ND

1457523557

MS. LCSW Jennifer Kimball Walter

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Illuminnate Chiropractic Pllc

Organization

Health Service Clinic/Center

6560 45th Ave S

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New Story Counseling Services Llpc

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Counselor

1330 23rd St S

Ste B

Fargo, ND

1174141048

LPCC Denage Sauve

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Mental Health Counselor

1330 23rd St S

Ste B

Fargo, ND

1497805196

Great Kids Therapy, Ltd.

Organization

Occupational Therapist

102 W Beaton Dr

Suite 100

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DR. DDS Patrick J Capp

Individual

General Practice Dentistry

105 13th Ave E

West Fargo, ND

1265707848

LCSW Erika Louise Lake

Individual

Clinical Social Worker

1330 23rd St S

Ste B

Fargo, ND

1437778347

LPCC Megan Tarryn Degenstein

Individual

Mental Health Counselor

1330 23rd St S

Ste B

Fargo, ND

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