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Organization
NORTHERN PLAINS SURGERY CENTER LLC
Active
Organization
NORTHERN PLAINS SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLIFTON CHAD BAZHAW (CHIEF REVENUE OFFICER)
(214) 893-0471
Entity
Organization
Contact information
Practice address
2829 UNIVERSITY DR S STE 103, FARGO, ND 58103-6050
(701) 232-9200
(701) 293-8147
Mailing address
2829 UNIVERSITY DR S STE 103, FARGO, ND 58103-6050
(701) 232-9200
(701) 293-8147
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
35C0001016
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10941
—
ND
05
—
1464956
—
ND
Enumeration date
10/16/2006
Last updated
03/19/2026
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