Healthcare Provider Details

I. General information

NPI: 1225544067
Provider Name (Legal Business Name): WEST2NORTH MEDICAL SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2017
Last Update Date: 12/15/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4207 BOULDER RIDGE RD
BISMARCK ND
58503-6163
US

IV. Provider business mailing address

4207 BOULDER RIDGE RD STE 175
BISMARCK ND
58503-6167
US

V. Phone/Fax

Practice location:
  • Phone: 701-751-1849
  • Fax:
Mailing address:
  • Phone: 701-751-1849
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BRITTNEY MARIE ANDERSON
Title or Position: BILLING
Credential:
Phone: 701-751-1849