Red River Family Medicine, Pc, NPI 1831312750
Family Medicine Physician in Fargo, 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 1831312750
NPI Entity Type Organization
Provider Name Red River Family Medicine, Pc
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 300 Main Ave, Suite 200, Fargo, ND, US
Provider Mailing Address 300 Main Ave, Suite 200, Fargo, ND, US, 581031930
Is Sole Proprietor? No
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Organization Official

Official Name MD Shantell Marie Twobears
Official Position PRESIDENT
Phone 701-499-4340

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

207Q00000X

Taxonomy Name Family Medicine Physician
Classification

Family Medicine

Group

Allopathic & Osteopathic Physicians

License No. 7807
License State ND
Description Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Business Address

Red River Family Medicine, Pc
300 Main Ave
Suite 200

Fargo, ND, US

Phone: 701-499-4340
Fax: 701-499-4341

Mailing Address

Red River Family Medicine, Pc
300 Main Ave
Suite 200
Fargo, ND, US
ZIP 581031930
Phone: 701-499-4340
Fax: 701-499-4341

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

363LF0000X

Physician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner

R28446 ND No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
931G4RE MN BLUE CROSS BLUE SHIELD 01
98-98110 MEDICA 01
13172 HEALTHPARTNERS 01
14245 ND MEDICAID 05
06960/001 ND BLUE CROSS BLUE SHIELD 01

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