MIDGARDEN FAMILY CLINIC PC (NPI# 1619119591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619119591 |
| Entity Type | Organization |
| Organization Name | MIDGARDEN FAMILY CLINIC PC |
| Practice Address |
503 Park St W Park River ND 58270-4103 |
| Practice Telephone | 7012846663 |
| Practice Fax Number | 7012846923 |
| Mailing Telephone | 7012846663 |
| Mailing Fax Number | 7012846923 |
| Enumeration Date | 2009-03-24 |
| Last Update Date | 2009-06-15 |
| Authorized Official Name | DR. KRISTI JEAN MIDGARDEN (OWNER) |
| Authorized Official Telephone | 7012846663 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
8012 | ND | Ambulatory Health Care Facilities |
| Street Address |
503 PARK ST W |
| City | PARK RIVER |
| State | ND |
| Zip Code | 58270-4103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720020324 | Ye Olde Medicine Shoppe | Durable Medical Equipment & Medical Supplies | 503 Park St W, Park River, ND 58270-4137 | 2006-06-11 |
| 1558971168 | Taylor Marie Kelsey | Pharmacist | 503 Park St W, Park River, ND 58270-4137 | 2020-08-07 |
| 1003469347 | Piper Luoto | Pharmacist | 503 Park St W, Park River, ND 58270-4137 | 2019-07-16 |
| 1801315874 | Daniel James Degree | Pharmacist | 503 Park St W, Park River, ND 58270-4137 | 2017-09-11 |
| 1538501226 | Kristin Marie Stabo | Nurse Practitioner | 503 Park St W, Park River, ND 58270-4137 | 2013-07-23 |
| 1275842312 | Kara Ruhland | Pharmacist | 503 Park St W, Park River, ND 58270-4137 | 2010-10-06 |
| 1841374030 | Kristi J Midgarden | Family Medicine | 503 Park St W, Park River, ND 58270-4103 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740769595 | The Evangelical Lutheran Good Samaritan Society | Nurse Practitioner | 301 S Highway 12b, Park River, ND 58270 | 2018-08-13 |
| 1104317189 | Paul Benedict Dusek | Dentist | 321 Briggs Ave S Ste 3, Park River, ND 58270 | 2018-05-24 |
| 1669880845 | Lifetime Dental, PC | Clinic/Center | 321 Briggs Ave S, Suite 3, Park River, ND 58270 | 2014-07-31 |
| 1063850436 | Achieve Therapy LLC | Physical Therapist | 102 4th St W, Park River, ND 58270 | 2013-06-07 |
| 1740473800 | Riverview Healthcare Association | Clinic/Center | 115 Vivian St, Park River, ND 58270 | 2007-08-22 |
| 1285847269 | Brian James Larson | Dentist | 418 Briggs Ave S, Park River, ND 58270 | 2007-05-07 |
| 1033137070 | Roberta L Ekman | Dentist | 321 Briggs Ave, Park River, ND 58270 | 2006-07-17 |
| 1679128664 | Lyndsi E Klundt | Physical Therapist | 102 4th St W, Park River, ND 58270 | 2019-08-06 |
| 1508426735 | Allie Beneda | Physical Therapy Assistant | 115 Vivian St., Park River, ND 58270 | 2019-06-19 |
| 1770795767 | Laurelyn Joann Larson | Pharmacist | Highway 17, Park River, ND 58270 | 2007-05-04 |
| Find all providers in zip 58270 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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|---|---|---|---|---|
| 1124640479 | Bright Life Family Chiropractic, PC | Clinic/Center | 3001 Yorktown Dr Ste 3, Bismarck, ND 58503-8518 | 2020-05-09 |
| 1093015265 | Spirit Lake Head Start | Clinic/Center | 816 3rd Ave North, Fort Totten, ND 58335 | 2010-10-22 |
| 1265678056 | Strinden Vision | Clinic/Center | 3221 32nd Ave S, Suite 300, Grand Forks, ND 58201-6071 | 2008-12-28 |
| 1972090181 | Blue Apple Wellness, LLP | Clinic/Center | 1650 45th St S Ste 113, Fargo, ND 58103-3247 | 2018-04-13 |
| 1447522206 | Ian L Greybull | Clinic/Center | 300 W Century Ave, Bismarck, ND 58503-1405 | 2012-02-08 |
| 1245526201 | All Seasons Full Body Chiropractic Center LLC | Clinic/Center | 1102 43rd St S Ste F, Fargo, ND 58103-2099 | 2011-06-28 |
| 1255623187 | Sanford Clinic North | Clinic/Center | 4420 37th Ave S, Fargo, ND 58104-3400 | 2011-05-11 |
| 1912155151 | Center for Healing and Wholeness | Clinic/Center | 117 N Washington St, Grand Forks, ND 58203-3450 | 2008-08-29 |
| 1790942035 | Three Affiliated Tribes | Clinic/Center | 1 Minni Tohe Dr, New Town, ND 58763-4400 | 2008-05-22 |
| 1841464286 | Valley Bariatric & Wellness Clinic | Clinic/Center | 1707 Gold Dr S, Suite 101, Fargo, ND 58103-6413 | 2008-04-16 |
| Find all providers with the same taxonomy | ||||
| City | PARK RIVER |
| Zip Code | 58270 |
Please comment or provide details below to improve the information on MIDGARDEN FAMILY CLINIC PC.
| 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.