Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LEGACY PRIMARY CARE PLLC
Active OrganizationLEGACY PRIMARY CARE PLLC is a Adolescent Medicine organization located in GRAND FORKS, North Dakota. NPI 1265277115 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine · GRAND FORKS, ND
Registration Details
- NPI Number
- 1265277115
- Provider Type
- Organization
- NPI Issued
- Jul 1, 2024 (2.1381464756749 yrs)
- Last Updated
- Jul 1, 2024
Practice Information
- Address
-
2100 S COLUMBIA RD STE 114GRAND FORKS, ND, 582015895Browse ND providers · Browse ZIP 58201
- Phone
- 7015164637
- Fax
- 8776511381
- Primary Specialty
-
Adolescent Medicine
207QA0505X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.