OrganizationActive
Southeast Medical Center PC
NPI 1124034509 · Community Health Clinic/Center · Lisbon, ND
Provider details
- NPI number
- 1124034509
- Entity type
- Organization
- Primary specialty
- Community Health Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Southeat Medical Center PC
- Organization subpart
- Yes
- Authorized official
- Theresa Kelly, Administrator(701) 742-3267
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
102 10th Avenue West
Lisbon, ND 58054-1097
Phone: (701) 683-2214
Fax: (701) 683-2130
Street-level locationGet directions
Mailing address
Po Box 50
Oakes, ND 58474-0050
Registry dates
- Enumerated
- 2006-07-31
- Last updated
- 2009-06-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.