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NPI Code Detail

MEDICARE: OBHG NORTH DAKOTA PC

MEDICARE: OBHG NORTH DAKOTA PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208M00000XHospitalist Physician
2207P00000XEmergency Medicine Physician
3207V00000XObstetrics & Gynecology Physician

General Provider Information

NPI Number : 1750248571
Entity Type Code : Organization
Provider Name (Legal Business Name) : OBHG NORTH DAKOTA PC
Provider Business Mailing Address
First Line : 777 LOWNDES HILL RD BLDG 1
Second Line :
City : GREENVILLE
State : SC
Zip : 29607-2101
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1301 15TH AVE W
Second Line :
City : WILLISTON
State : ND
Zip : 58801-3821
Country : US
Telephone Number : 864-908-3530
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : DENISE BURNS
Credential :
Telephone Number : 864-908-3604
Provider Enumeration Date : 01/05/2026
Last Update Date : 06/05/2026

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