Underwood Clinic Pc, NPI 1770591927
Family Nurse Practitioner in Underwood, 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 | 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 |
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 | |
| Taxonomy Name | Family Nurse Practitioner |
| Classification | |
| Group | |
| License No. | R25469 |
| License State | ND |
| Description | Definition to come... |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| 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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