Organization
MICHIGAN COMMUNITY MEDICAL CLINIC
Active
Organization
MICHIGAN COMMUNITY MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHAN BOYD HAGEN M.D. (PHYSICIAN)
(701) 259-2118
Entity
Organization
Contact information
Practice address
115 SO ST. # 290, MICHIGAN, ND 58259
(701) 259-2118
(701) 259-2319
Mailing address
PO BOX 290, 115 SO ST. # 290, MICHIGAN, ND 58259
(701) 259-2118
(701) 259-2319
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
3113
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11257
—
ND
Enumeration date
07/31/2014
Last updated
07/31/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up