Healthcare Provider Details

I. General information

NPI: 1093764599
Provider Name (Legal Business Name): MEDICAL ARTS OUTPATIENT SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2006
Last Update Date: 12/29/2025
Certification Date: 12/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 BURDICK EXPY E SUITE 201
MINOT ND
58701-4768
US

IV. Provider business mailing address

PO BOX 2216
MINOT ND
58702-2216
US

V. Phone/Fax

Practice location:
  • Phone: 701-857-7900
  • Fax: 701-857-7834
Mailing address:
  • Phone: 701-418-8000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number22
License Number StateND

VIII. Authorized Official

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