OrganizationActive
Mid Dakota Clinic, Inc.
NPI 1366484404 · Ambulatory Surgical Clinic/Center · Bismarck, ND
Provider details
- NPI number
- 1366484404
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- William Heegaard, President(701) 364-4554
- License
- 35C1001023 (ND)
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
20 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
401 N 9th St
Bismarck, ND 58501-4507
Phone: (701) 530-6100
Fax: (701) 530-6430
Street-level locationGet directions
Mailing address
401 N 9th St
Bismarck, ND 58501-4507
Registry dates
- Enumerated
- 2006-06-12
- Last updated
- 2022-10-25
- Certified
- 2022-10-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.