MICHIGAN COMMUNITY MEDICAL CLINIC
NPI 1427466630
Clinic/Center in Michigan, ND
- Organization
- Clinic/Center
About MICHIGAN COMMUNITY MEDICAL CLINIC
This page provides the complete NPI Profile along with additional information for Michigan Community Medical Clinic, a provider established in Michigan, North Dakota operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1427466630 assigned on July 2014. The practitioner's primary taxonomy code is 261Q00000X with license number 3113 (ND). The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Dr. Nathan Boyd Hagen M.d. (Physician)
- NPI
- 1427466630 Verify this NPI
- Provider Name
- MICHIGAN COMMUNITY MEDICAL CLINIC
- Entity Type
- Organization
- Location Address
- 115 SO ST. # 290 MICHIGAN, ND 58259
- Location Phone
- (701) 259-2118
- Location Fax
- (701) 259-2319
- Mailing Address
- PO BOX 290 115 SO ST. # 290 MICHIGAN, ND 58259
- Mailing Phone
- (701) 259-2118
- Mailing Fax
- (701) 259-2319
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-31-2014
- Last Update Date
- 07-31-2014
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- License No.
- 3113
- License State
- ND
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 11257 | MEDICAID (05) | ND | |
| N977 | MEDICARE UPIN (02) | ND |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1427466630, enumerated as an "organization" on July 31, 2014.
The provider is located at 115 SO ST. # 290 MICHIGAN, ND 58259 and the phone number is (701) 259-2118.
Clinic/Center with taxonomy code 261Q00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
