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ROLLA CLINIC, P.C.
NPI 1215948435
Family Medicine in Rolla, ND

Active since August 11, 2006
114 3RD ST NE, ROLLA, ND 58367(701) 477-3111(701) 477-6342 Get Directions Write a Review

NPPES record last updated: April 21, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rolla Clinic, P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROLLA CLINIC, P.C. (NPI 1215948435) is a healthcare organization registered as a family medicine in Rolla, North Dakota and active in the NPI registry since August 2006. The organization lists June A Banse, Administrator, as its authorized official.

NPPES Registry Identity

NPI1215948435
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameROLLA CLINIC, P.C.
Location Address114 3RD ST NERolla, ND 58367-7137
Mailing AddressPo Box 699, 114 Ne 3rd StRolla, ND 58367-7137 · (701) 477-3111 · Fax (701) 477-6342
Phone(701) 477-3111
Fax(701) 477-6342
Organization SubpartNo
Authorized OfficialJune A BanseAdministrator · (701) 477-3111
Enumeration DateAugust 11, 2006
Last NPPES UpdateApril 21, 2010
✔ NPI 1215948435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in ND · 9041
Definition
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.
114 3RD ST NE, Rolla, ND 58367
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Other Identifiers 3

Medicaid05018ND
Medicare OSCAR/certification353810ND
Medicaid10151ND

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LILIA MARCELINA CID MD
Family Medicine
114 3RD ST NE
ROLLA, ND 58367
Rolette County (701) 477-3111
LAVONNE M CHARBONNEAU PA-C
Physician Assistant
114 3RD ST NE
ROLLA, ND 58367
Rolette County (701) 477-3111
MR. MICHAEL THOMAS MCQUEENEY PA-C
Physician Assistant (Medical)
114 3RD ST NE
ROLLA, ND 58367
Rolette County (701) 477-3111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rolla Clinic, P.C.'s NPI number?

The NPI number for Rolla Clinic, P.C. is 1215948435. It was assigned to this organization in the NPPES registry on August 11, 2006.

Where is Rolla Clinic, P.C. located?

Rolla Clinic, P.C. is located at 114 3rd St NE, Rolla, ND 58367. The listed phone number is (701) 477-3111.

What is Rolla Clinic, P.C.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Rolla Clinic, P.C. was last updated on April 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.