# MEDCENTER ONE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MEDCENTER ONE BISMARCK FAMILY CLINIC SOUTH
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881739977
- **Authorized official:** LEIGH ANN THOMPSON (DIRECTOR OF CLINIC FINANCE)
- **Authorized official phone:** (701) 323-6000

## Contact information

- **Practice address:** 1040 TACOMA AVE, BISMARCK, ND 58504
- **Practice address phone:** (701) 323-6990
- **Practice address fax:** (701) 323-5709
- **Mailing address:** PO BOX 5501, BISMARCK, ND 58506-5501
- **Mailing address phone:** (701) 323-6000
- **Mailing address fax:** (701) 323-5709

## Taxonomy

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

## Other

- **Enumeration date:** 02/20/2007
- **Last updated:** 08/22/2020