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Contact Information

MKB MANAGEMENT CORPORATION
512 1ST AVE N
FARGO, ND58102-4804
 Phone: 701-298-9999
 Fax: 701-235-8084
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulatory Family Planning Facility

261QA0005X
Indicates primary specialty

NPI Profile & details for MKB MANAGEMENT CORPORATION

NPI # 1205971447
LBN Legal business name MKB MANAGEMENT CORPORATION
Authorized official TAMMI KROMENAKER - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 02/21/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
ND Medicaid 10975
MN Other 09G07RE BCBS ID #
MN Other 07-83107 MEDICA ID #
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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