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Contact Information

SOUTHEAST THERAPY SERVICES INC
336 MAIN STREET
FORMAN, ND58032-0184
 Phone: 701-724-3221
 Fax: 701-724-3222
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy

261QP2000X
Indicates primary specialty

NPI Profile & details for SOUTHEAST THERAPY SERVICES INC

NPI # 1013926005
LBN Legal business name SOUTHEAST THERAPY SERVICES INC
Authorized official THERESA KELLY - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 08/07/2006
Last updated 06/09/2009 - About 17 years ago
Identifiers
ND Medicaid 55418
ND Other 1346004 BCBS ND CLINIC#
ND Other CG3429 RAILROAD MEDICARE
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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