LEGACY PRIMARY CARE PLLC – NPI #1265277115
Family Medicine

The NUCC recommends this code not be used. Choose a more appropriate code.

Health Care Provider Taxonomy Code for Family Medicine

LEGACY PRIMARY CARE PLLC is a provider located in GRAND FORKS, ND. NPPES has assigned the NPI number 1265277115 to LEGACY PRIMARY CARE PLLC on July 01, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207QA0505X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Adult Medicine

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LEGACY PRIMARY CARE PLLC below.

NPI Profile for
LEGACY PRIMARY CARE PLLC

NPI Number
1265277115
Enumeration Date

(about 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LEGACY PRIMARY CARE PLLC
Primary location
2100 S COLUMBIA RD STE 114
GRAND FORKS, ND 58201-5895
Phone: (701) 516-4637 Fax: (877) 651-1381
Mailing address
19580 SCOUT LN
SAINT ONGE, SD 57779-7913
Phone: Fax:
Organization Subpart
No
Authorized Official
HEIDI WILLIAMS
CRED SPEC
Phone: (605) 846-8239
Updated
Certification Date
Jul 01, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QA0505X
- Family Medicine / Adult Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.