OrganizationActive
Legacy Primary Care PLLC
NPI 1265277115 · Adult Medicine Physician · Grand Forks, ND
Provider details
- NPI number
- 1265277115
- Entity type
- Organization
- Primary specialty
- Adult Medicine PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Heidi Williams, Cred Spec
Practice 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
Registry dates
- Enumerated
- 2024-07-01
- Last updated
- 2024-07-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.