| NPI | 1366161945 |
|---|---|
| Doing Business As | BISMARCK MEDICAL PROVIDERS |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY I WEISS Provider 573-200-8030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QC1800X Clinic/Center, Corporate Health | |
| 261QF0050X Clinic/Center, Family Planning, Non-Surgical | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QR1300X Clinic/Center, Rural Health | |
| 261QX0100X Clinic/Center, Occupational Medicine | |
| 313M00000X Nursing Facility/Intermediate Care Facility | |
| Enumeration Date | 2022-08-25 |
| Last Update Date | 2024-01-04 |