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Contact Information

CATALYST MEDICAL CENTER PC
1800 21ST AVE S
FARGO, ND58103
 Phone: 701-365-8700
 Fax: 701-365-8701
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for CATALYST MEDICAL CENTER PC

NPI Number 1043378268
LBN Legal business name CATALYST MEDICAL CENTER PC
Authorized official SUSAN MATHISON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/04/2006
Last updated 05/01/2009 - About 17 years ago
Identifiers
ND Medicaid 13515
MN Other C04026 MN MEDICARE PIN
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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