Organization
BISMARCK SURGICAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ATTAS BOUTROUS (ADMINISTRATOR)
(701) 221-2299
Entity
Organization
Contact information
Practice address
106 E GREENFIELD LN, BISMARCK, ND 58503-6578
(701) 221-2299
(701) 355-4331
Mailing address
106 E GREENFIELD LN, BISMARCK, ND 58503-6578
(701) 221-2299
(701) 323-3338
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
—
ND
367500000X
Certified Registered Nurse Anesthetist
Primary
R28938
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10864
—
ND
01
—
490004061
RAILROAD MEDICARE
ND
01
—
8618
BCBS
ND
Enumeration date
06/13/2008
Last updated
10/24/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us