Organization
PLAINS MEDICAL CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET GILBERTSON (PRACTICE MANAGER)
(701) 499-4807
Entity
Organization
Contact information
Practice address
3290 20TH ST S, FARGO, ND 58104-5923
(701) 499-4800
(701) 451-9452
Mailing address
3290 20TH ST S, FARGO, ND 58104-5923
(701) 499-4800
(701) 451-9452
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
569500002
DME
ND
Enumeration date
10/26/2006
Last updated
05/29/2013
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