Organization
REGIONAL CLINIC LTD
Active
Organization
REGIONAL CLINIC LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA KELLY (ADMINISTRATOR)
(701) 742-3267
Entity
Organization
Contact information
Practice address
420 SOUTH 7TH STREET, OAKES, ND 58474-2024
(701) 742-3267
(701) 742-3201
Mailing address
PO BOX 406, OAKES, ND 58474-0406
(701) 742-3267
(701) 742-3201
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06473001
BLUE SHIELD
ND
05
—
13430
—
ND
01
—
DD1370
RAILROAD MEDICARE
ND
Enumeration date
02/14/2006
Last updated
07/28/2009
Update your record
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