Organization
NORTHERN PLAINS SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLIFTON CHAD BAZHAW (CHIEF REVENUE OFFICER)
(214) 893-0471
Entity
Organization
Contact information
Practice address
2829 UNIVERSITY DR S STE 103, FARGO, ND 58103-6050
(701) 232-9200
(701) 293-8147
Mailing address
2829 UNIVERSITY DR S STE 103, FARGO, ND 58103-6050
(701) 232-9200
(701) 293-8147
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
35C0001016
ND
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10941
—
ND
05
—
1464956
—
ND
Enumeration date
10/16/2006
Last updated
03/19/2026
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