Northland Family Physicians Llc, NPI 1215990791
Clinic/Center in Grand Forks, ND, US
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 |
Organization Official
| Official Name | DR. MD Mark G Peterson |
| Official Position | PRESIDENT |
| Phone | 701-732-2700 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Clinic/Center |
| Classification | |
| Group | |
| 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 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 |
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