| Family Medical Clinic Pc | |
|
10 9th Ave E Lisbon ND 58054 | |
| (701) 683-4711 | |
| (701) 683-3205 |
| Full Name | Family Medical Clinic Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 10 9th Ave E, Lisbon, North Dakota |
| Authorized Official Name and Position | Barbara Sheets Olson (PRESIDENT) |
| Authorized Official Contact | 7016834711 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medical Clinic Pc 10 9th Ave E Po Box 1049 Lisbon ND 58054 Ph: (701) 683-4711 | Family Medical Clinic Pc 10 9th Ave E Lisbon ND 58054 Ph: (701) 683-4711 |
| NPI Number | 1952331159 |
|---|---|
| Provider Enumeration Date | 07/04/2006 |
| Last Update Date | 07/31/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952331159 | NPI | - | NPPES |
| 1956001 | Other | ND | NDBS |
| 05171 | Medicaid | ND | |
| 13746 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4909 (North Dakota) | Primary |
Innovis Health, Llc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 819 Main St, Lisbon, ND 58054 Phone: 701-683-4134 Fax: 701-683-4094 | |
Dakota Clinic, Ltd. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 819 Main St, Lisbon, ND 58054 Phone: 701-683-4134 Fax: 701-683-4094 | |
Southeast Medical Center Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 10th Avenue West, Lisbon, ND 58054 Phone: 701-683-2214 Fax: 701-683-2130 |