Healthcare Provider Details

I. General information

NPI: 1821902263
Provider Name (Legal Business Name): STATES AND MAIN PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1571 W VILLARD ST
DICKINSON ND
58601-4653
US

IV. Provider business mailing address

1140 12TH AVE W
DICKINSON ND
58601-3656
US

V. Phone/Fax

Practice location:
  • Phone: 406-939-3288
  • Fax:
Mailing address:
  • Phone: 406-939-3288
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number StateNULL

VIII. Authorized Official

Name: PAIGE HOOD
Title or Position: OWNER/MEDICAL DIRECTOR
Credential: FNP-C
Phone: 406-939-3288