Southeast Medical Center Pc

NPI 1124034509 - Clinic/Center - 261QC1500X

NPI Details
NPI 1124034509
Enumeration Date 07/31/2006
Last Updated 06/09/2009
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name THERESA THERESA
Position ADMINISTRATOR
Phone (701) 683-2214
Fax (701) 683-2130
Practice Location
102 10TH AVENUE WEST
LISBON ND, 58054-1097, US
Phone (701) 683-2214
Fax (701) 683-2130
Business Location
PO BOX 50
OAKES ND, 58474-0050, US
Phone (701) 742-3267
Fax (701) 742-3201
Toxanomy
Taxonomy Code 261QC1500X
License State
License Number
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According to our database, Southeast Medical Center Pc NPI is 1124034509, taxonomy code is 261QC1500X Southeast Medical Center Pc physically located at 102 10th Avenue West, Lisbon ND, 58054-1097. NPI Number 1033115704 has the healthcare provider type.

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1124034509 NPI number is provided on an as is basis without warranty of any kind. 1124034509 is maintained by the National Plan & Provider Enumeration System. The contents of Southeast Medical Center Pc are for informational purposes only.