FAIRLIGHT MEDICAL CENTER


Address: 3 4th St E, Suite 101, Williston, ND 58801-5350
Phone: 7015776337

FAIRLIGHT MEDICAL CENTER (NPI# 1104079409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104079409
Entity Type Organization
Organization Name FAIRLIGHT MEDICAL CENTER
Other Organization Name WILLISTON RADIOLOGY CONSULTANTS
Practice Address 3 4th St E
Suite 101
Williston
ND 58801-5350
Practice Telephone 7015776337
Practice Fax Number 7015774867
Mailing Telephone 7015776337
Mailing Fax Number 7015774867
Enumeration Date 2008-10-30
Last Update Date 2008-10-30
Authorized Official Name MS. NANCY MARIE REIGER (BILLING/INSURANCE CLERK)
Authorized Official Telephone 7015776337
Is Organization Subpart Y
Parent Organization Name WILLISTON RADIOLOGY CONSULTANTS

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QU0200X Clinic/Center
Specialization: Urgent Care
6414 ND Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NAICS 621-11 01
ND 010182 05
MT 0406731 05
DUNS 109956169 01
TPIN 2699617243 01

Other Provider/Organization Names

Other Name Type Code
Williston Radiology Consultants Former Legal Business Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1811162811 Fairlight Medical Center Clinic/Center 3 4th St E, Williston, ND 58801-5350 2008-04-30

Office Location

Street Address 3 4TH ST E
SUITE 101
City WILLISTON
State ND
Zip Code 58801-5350

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417983164 Misty K Falcon Nurse Practitioner 3 4th St E, Williston, ND 58801-5350 2006-06-24
1588162614 Chad R Bowen Physician Assistant 3 4th St E, Williston, ND 58801-5350 2018-01-23
1962753749 Accessible Podiatry, P.C. Podiatrist 3 4th St E, Suite 102, Williston, ND 58801-5350 2012-09-20
1487945630 Guy K Slann Podiatrist 3 4th St E, Suite 102, Williston, ND 58801-5350 2011-04-22
1215260955 Williston Radiology Consultants PC Clinic/Center 3 4th St E, Suite 201, Williston, ND 58801-5350 2009-09-14
1811162811 Fairlight Medical Center Clinic/Center 3 4th St E, Williston, ND 58801-5350 2008-04-30
1467528455 Leszek J Jaszczak Radiology 3 4th St E, Suite 201, Williston, ND 58801-5350 2006-11-28
1942375852 Williston Radiology Consultants PC Specialist 3 4th St E, Suite 201, Williston, ND 58801-5350 2006-11-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952868556 Purpose Driven Interventions Counselor 1502 13th Ave West, Williston, ND 58801 2019-03-01
1437637501 Camille Ann Settelmeyer Nurse Practitioner 1213 15th Avenue West, Williston, ND 58801 2018-08-01
1801317417 Shelby Laine Carlson Physical Therapist 1502 13th Ave W Suite 101, Williston, ND 58801 2017-07-05
1710418579 Catrina Louise Lindvig Chiropractor 1135 2nd Ave W Ste 203, Williston, ND 58801 2017-03-23
1801337415 Selah Counseling Clinic/Center 125 Main St, Suite #220, Williston, ND 58801 2017-03-15
1316485634 Theresa E Scully Social Worker 125 Main St; Unit 220, Williston, ND 58801 2017-02-07
1346792256 Donna Peterson Social Worker 1500 14th St Sw, Suite 250, Williston, ND 58801 2016-10-26
1730509084 Lacey Thompson Case Manager/Care Coordinator 110 West Broadway, Suite 202, Williston, ND 58801 2014-04-24
1770904708 Kayla Jo Rossland Physical Therapist 221 University Ave Ste 203, Williston, ND 58801 2013-12-17
1285072710 Susan Mae Bradford Counselor 612 4th St. E., Williston, ND 58801 2013-06-06
Find all providers in zip 58801

Taxonomy Information

Taxonomy Code 261QU0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Urgent Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366087264 Chatter Pediatric Walk-in Clinic Clinic/Center 221 University Ave Ste 103, Williston, ND 58801-5618 2019-11-14
1235481540 Elite Specialty Clinics, Inc. Clinic/Center 512 Main St, Williston, ND 58801-5316 2012-10-10
1215260955 Williston Radiology Consultants PC Clinic/Center 3 4th St E, Suite 201, Williston, ND 58801-5350 2009-09-14
1811162811 Fairlight Medical Center Clinic/Center 3 4th St E, Williston, ND 58801-5350 2008-04-30

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1710496310 Medallus & Vacharothone Ltd Clinic/Center 721 1st Ave S Unit A, Jamestown, ND 58401 2017-09-26
1841547387 Hans Bjellum Md PC Clinic/Center 1100 19th Ave N, Suite L&m, Fargo, ND 58102-5906 2012-08-14
1275802316 St. Joseph's Hospital and Health Center Clinic/Center 227 16th St W, Dickinson, ND 58601-4675 2011-12-19
1851547160 Hans Bjellum, Md, PC Clinic/Center 1517 32nd Ave S, Fargo, ND 58103-5905 2008-08-18
1346496015 Hans Bjellum, Md, PC Clinic/Center 1101 S Columbia Rd, Grand Forks, ND 58201-4055 2008-08-14
1619123593 Hans Bjellum, Md, PC Clinic/Center 4622 40th Ave S, Fargo, ND 58104-4394 2008-08-12
1942318308 Aurora Urgent Care LLC Clinic/Center 2650 32nd Ave S Ste D, Grand Forks, ND 58201 2006-08-27

Competitor

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City WILLISTON
Zip Code 58801

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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