RED RIVER PLASTIC SURGERY CENTER
NPI 1497804082
Clinic/Center - Medical Specialty in East Grand Forks, MN

Active since January 10, 2007
1428 CENTRAL AVE NE, EAST GRAND FORKS, MN 56721(866) 773-1390 Get Directions Write a Review

NPPES record last updated: January 15, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Red River Plastic Surgery Center NPPES

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

RED RIVER PLASTIC SURGERY CENTER (NPI 1497804082) is a healthcare organization registered as a medical specialty in East Grand Forks, Minnesota and active in the NPI registry since January 2007. The organization lists Judson Crow, Owner, as its authorized official.

NPPES Registry Identity

NPI1497804082
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameRED RIVER PLASTIC SURGERY CENTER
Location Address1428 CENTRAL AVE NEEast Grand Forks, MN 56721-1605
Mailing Address1428 Central Ave NeEast Grand Forks, MN 56721-1605 · (866) 773-1390
Organization SubpartNo
Authorized OfficialJudson CrowOwner · (866) 773-1390
Enumeration DateJanuary 10, 2007
Last NPPES UpdateJanuary 15, 2008
NPI 1497804082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
1428 CENTRAL AVE NE, East Grand Forks, MN 56721

Other Identifiers 5

Medicare PINN711302ND
Medicare PINC03614MN
Other440R4REMN · Bcbs Mn
Other6296Bcbs Nd
Medicaid13088ND

Other Providers at the Same Location NPPES 4

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

Substance Abuse Rehabilitation Facility
1428 CENTRAL AVE NE
EAST GRAND FORKS, MN 56721
Clinic/Center (Rural Health)
1428 CENTRAL AVE NE
EAST GRAND FORKS, MN 56721
Obstetrics & Gynecology (Gynecology)
1428 CENTRAL AVE NE
EAST GRAND FORKS, MN 56721
Clinic/Center (Multi-Specialty)
1428 CENTRAL AVE NE
EAST GRAND FORKS, MN 56721

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 Red River Plastic Surgery Center's NPI number?

The NPI number for Red River Plastic Surgery Center is 1497804082. It was assigned to this organization in the NPPES registry on January 10, 2007.

Where is Red River Plastic Surgery Center located?

Red River Plastic Surgery Center is located at 1428 Central Ave NE, East Grand Forks, MN 56721. The listed phone number is (866) 773-1390.

What is Red River Plastic Surgery Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Red River Plastic Surgery Center was last updated on January 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.