Healthcare Provider Details

I. General information

NPI: 1467473827
Provider Name (Legal Business Name): MEDICAL ARTS OUTPATIENT SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2006
Last Update Date: 04/25/2025
Certification Date: 04/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

530 20TH AVE SW
MINOT ND
58701-6437
US

IV. Provider business mailing address

530 20TH AVE SW
MINOT ND
58701-6437
US

V. Phone/Fax

Practice location:
  • Phone: 701-857-7370
  • Fax: 701-857-7419
Mailing address:
  • Phone: 701-857-7370
  • Fax: 701-857-7419

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier56729
Identifier TypeMEDICAID
Identifier StateND
Identifier Issuer

VIII. Authorized Official

Name: JOHN M KUTCH
Title or Position: PRESIDENT & CEO
Credential:
Phone: 701-418-8000