Fairlight Medical Center, NPI 1811162811
Urgent Care Clinic/Center in Williston, 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 | 1811162811 |
| NPI Entity Type | Organization |
| Provider Name |
Fairlight Medical Center
Other Name |
| Subpart of Organization | Williston Radiology Consultants Pc |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Certification Date | September 30, 2009 |
| Provider Location Address | 3 4th St E, Williston, ND, US |
| Provider Mailing Address | 3 East 4th Street, Po Box 1148, Williston, ND, US, 588021148 |
| Gender | Male |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | DR. MD Leszek J Jaszczak |
| Official Position | PRESIDENT/OWNER |
| Phone | 701-577-6337 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Urgent Care Clinic/Center |
| Classification | |
| Group | |
| License No. | 6414 |
| License State | ND |
| Description | Definition to come... |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 109956169 | ND | DUNS | 01 |
| 269-961-7243 | ND | TPIN | 01 |
| 621-111 | ND | NAICS | 01 |
| 010182 | ND | MEDICAID | 05 |
| 0406731 | MT | MEDICAID | 05 |
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