# GLEN ULLIN FAMILY MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023096419
- **Authorized official:** THOMAS NEHRING (CFO)
- **Authorized official phone:** (701) 873-4821

## Contact information

- **Practice address:** 602 ASH AVE, GLEN ULLIN, ND 58631
- **Practice address phone:** (701) 348-9175
- **Practice address fax:** (701) 348-9177
- **Mailing address:** PO BOX 5, GLEN ULLIN, ND 58631-0005
- **Mailing address phone:** (701) 348-9175
- **Mailing address fax:** (701) 348-9177

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | ND | Yes |

## Other

- **Enumeration date:** 01/05/2006
- **Last updated:** 08/22/2020