# ST. ANDREW'S BOTTINEAU CLINIC, LLC

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

## Provider details

- **NPI number:** 1346213147
- **Authorized official:** MRS. JODI LYNN ATKINSON (CEO/ADMINISTRATOR)
- **Authorized official phone:** (701) 228-9300

## Contact information

- **Practice address:** 314 OHMER ST, BOTTINEAU, ND 58318-1045
- **Practice address phone:** (701) 228-9400
- **Practice address fax:** (701) 228-9398
- **Mailing address:** 314 OHMER ST, BOTTINEAU, ND 58318-1045
- **Mailing address phone:** (701) 228-9400
- **Mailing address fax:** (701) 228-9398

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 9590 | ND | Yes |

## Other

- **Enumeration date:** 02/10/2006
- **Last updated:** 08/22/2020