Underwood Clinic Pc, NPI 1770591927
Family Nurse Practitioner in Underwood, 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 1770591927
NPI Entity Type Organization
Provider Name Underwood Clinic Pc
Other Name
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 87 Lincoln Ave, Underwood, ND, US
Provider Mailing Address Po Box 253, Underwood, ND, US, 585760253
Is Sole Proprietor? No
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Organization Official

Official Name Michele Leidholm
Official Position OWNER
Phone 701-442-3148

Group Taxonomy

Taxonomy Code 193400000X
Taxonomy Name 193400000X MULTIPLE SINGLE SPECIALTY GROUP
Definition A business group of one or more individual practitioners, all of who practice with the same area of specialization.

Primary Taxonomy

Taxonomy Code

363LF0000X

Taxonomy Name Family Nurse Practitioner
Classification

Nurse Practitioner

Group

Physician Assistants & Advanced Practice Nursing Providers

License No. R25469
License State ND
Description Definition to come...

Other Organization Name

Washburn Clinic
Other Name

Business Address

Underwood Clinic Pc
87 Lincoln Ave

Underwood, ND, US

Phone: 701-442-3148
Fax: 701-442-3414

Mailing Address

Underwood Clinic Pc
Po Box 253
Underwood, ND, US
ZIP 585760253
Phone: 701-442-3148
Fax: 701-442-3414

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

363LF0000X

Physician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner

R25051 ND No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
13448 ND MEDICAID 05
A63211044293 PREFERRED ONE 01
06053002 ND BCBS 01
18607 ND MEDICAID 05
DA6139 RR MEDICARE 01
A63211046001 PREFERRED ONE 01
06053001 ND BCBS 01

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Organization

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LCSW Erika Louise Lake

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LPCC Megan Tarryn Degenstein

Individual

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1330 23rd St S

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