Southeast Medical Center PC
NPI #1124034509 in Lisbon, North Dakota
Provider Information
- NPI Number
- 1124034509
- Entity Type
- Organization
- Organization Name
- Southeast Medical Center PC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- SOUTHEAT MEDICAL CENTER PC
- Primary Specialty
- Clinic/Center - Community Health
- Enumeration Date
- Jul 31, 2006
- Last Updated
- Jun 9, 2009
Practice Location
- Address
- 102 10TH AVENUE WEST
- City
- Lisbon
- State
- North Dakota
- ZIP Code
- 58054-1097
- Phone
- (701) 683-2214
Authorized Official
- Name
- THERESA KELLY
- Title
- ADMINISTRATOR
- Phone
- (701) 742-3267
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Community Health — Community Health |
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