institution
Southeast Medical Center Pc
Community Health Clinic/Center in Lisbon, North Dakota
NPI 1124034509

Southeast Medical Center Pc is a Community Health Clinic/Center based in Oakes, ND and is specialized in Community Health. Southeast Medical Center Pc practices in Lisbon, ND. The NPI Number for Southeast Medical Center Pc is 1124034509 and holds a License No. (North Dakota).

The current practice location address for Southeast Medical Center Pc is 102 10Th Avenue West, Lisbon, ND and can be reached out via phone at 701-683-2214 and via fax at 701-683-2130.

Location: 102 10Th Avenue West, Lisbon, ND, 58474-0050
institution
Provider Profile Details
NPI Number
1124034509
Provider Name
Southeast Medical Center Pc
Credential
Provider Entity Type
Organization
Address
102 10Th Avenue West, Lisbon, ND, 58474-0050
Phone Number
701-683-2214
Fax Number
701-683-2130
Provider Enumeration Date
07/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10336 05 ND
6638001 01 ND BLUE SHIELD
CF8850 01 ND RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
102 10Th Avenue West
City
State
Zip
58054-1097
Phone Number
701-683-2214
Fax Number
701-683-2130
person
Provider Business Mailing Address Details
Address
102 10Th Avenue West
City
State
Zip
58054-1097
Phone Number
701-683-2214
Fax Number
701-683-2130
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Community Health
Taxonomy
License No.
()
Definition
Definition to come...
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