GLEN ULLIN CLINIC ELGIN CLINIC – NPI #1558305839
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

GLEN ULLIN CLINIC ELGIN CLINIC is a provider located in ELGIN, ND. NPPES has assigned the NPI number 1558305839 to GLEN ULLIN CLINIC ELGIN CLINIC on June 16, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “GLEN ULLIN CLINIC ELGIN CLINIC” is a dba name, the actual legal business name for this organization is GEORGE S. HSU. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 18 years ago on Apr 16, 2008. 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 GLEN ULLIN CLINIC ELGIN CLINIC below.

NPI Profile for
GEORGE S. HSU

NPI Number
1558305839
Enumeration Date

(about 20 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
GEORGE S. HSU
Doing Business As (dba): GLEN ULLIN CLINIC ELGIN CLINIC
Primary location
302 N MAIN ST
ELGIN, ND 58533-7108
Phone: (701) 584-3010 Fax: (701) 584-3011
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
GEORGE HSU
OWNER
Phone: (701) 584-3010
Updated
Identifiers

Identifiers for GLEN ULLIN CLINIC ELGIN CLINIC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDND005006
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
208D00000X
- General Practice (Primary)
ND 3068
363LF0000X
- Nurse Practitioner / Family
ND R17917
363A00000X
- Physician Assistant
ND PAC0361
111N00000X
- Chiropractor
ND 561

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.