Provider Demographics
NPI:1821113010
Name:MEDCENTER ONE INC.
Entity Type:Organization
Organization Name:MEDCENTER ONE INC.
Other - Org Name:MEDCENTER ONE OCCUPATIONAL HEALTH CLINIC
Other - Org Type:Other Name
Authorized Official - Title/Position:ATHLETIC TRAINER
Authorized Official - Prefix:
Authorized Official - First Name:DAMIAN
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:SCHLINGER
Authorized Official - Suffix:
Authorized Official - Credentials:LATC
Authorized Official - Phone:701-323-8931
Mailing Address - Street 1:1833 E BISMARCK EXPY
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58504-6708
Mailing Address - Country:US
Mailing Address - Phone:701-323-5222
Mailing Address - Fax:
Practice Address - Street 1:1833 E BISMARCK EXPY
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58504-6708
Practice Address - Country:US
Practice Address - Phone:701-323-5222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND246-012255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic TrainerGroup - Multi-Specialty