LEGACY PRIMARY CARE PLLC
NPI 1265277115
Family Medicine - Adult Medicine in Grand Forks, ND

Q: What is Legacy Primary Care PLLC's NPI number?

The NPI number for Legacy Primary Care PLLC is 1265277115. It was assigned to this organization in the NPPES registry on July 1, 2024.

Q: What is Legacy Primary Care PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Active since July 01, 2024

2100 S COLUMBIA RD STE 114, GRAND FORKS, ND 58201(701) 516-4637(877) 651-1381 Get Directions Write a Review

NPPES record last updated: July 1, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Legacy Primary Care Pllc NPPES

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

LEGACY PRIMARY CARE PLLC (NPI 1265277115) is a healthcare organization registered as an adult medicine in Grand Forks, North Dakota and active in the NPI registry since July 2024. The organization lists Heidi Williams, Cred Spec, as its authorized official.

NPPES Registry Identity

NPI1265277115

Entity TypeOrganization

Primary Taxonomy207QA0505X

Legal Business NameLEGACY PRIMARY CARE PLLC

Location Address2100 S COLUMBIA RD STE 114Grand Forks, ND 58201-5895

Mailing Address19580 Scout LnSaint Onge, SD 57779-7913

Phone(701) 516-4637

Fax(877) 651-1381

Organization SubpartNo

Authorized OfficialHeidi WilliamsCred Spec · (605) 846-8239

Enumeration DateJuly 1, 2024

NPPES CertifiedJuly 1, 2024

✔ NPI 1265277115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0505X

Definition

The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

2100 S COLUMBIA RD STE 114, Grand Forks, ND 58201

Open in Google Maps ↗

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Blue Cross Blue Shield of Wyoming, Medica and more.Insurance ›

Other Providers at the Same Location NPPES 7

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

TRACI SPECHT

Nurse Practitioner (Family)