Provider Demographics
NPI:1326178013
Name:ALAN F.H. LIM, M.D., P.C.
Entity Type:Organization
Organization Name:ALAN F.H. LIM, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:FH
Authorized Official - Last Name:LIM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:701-857-5429
Mailing Address - Street 1:20 BURDICK EXPY W STE 202
Mailing Address - Street 2:
Mailing Address - City:MINOT
Mailing Address - State:ND
Mailing Address - Zip Code:58701-4498
Mailing Address - Country:US
Mailing Address - Phone:701-857-5429
Mailing Address - Fax:701-839-1344
Practice Address - Street 1:20 BURDICK EXPY W STE 202
Practice Address - Street 2:
Practice Address - City:MINOT
Practice Address - State:ND
Practice Address - Zip Code:58701-4498
Practice Address - Country:US
Practice Address - Phone:701-857-5429
Practice Address - Fax:701-839-1344
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2011-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND1113OtherBLUE CROSS BLUE SHIELD
ND11718Medicaid
NDP00120789OtherRAILROAD MEDICARE
NDD26084Medicare UPIN
ND621113Medicare ID - Type Unspecified