Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Southeast Medical Center PC

Community Health Clinic/Center in Lisbon, ND · enumerated 2006 · authorized official Theresa Kelly, Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1124034509

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Registry record

Entity type Organization (Type 2)

Legal business name Southeast Medical Center PC

Parent organization Southeat Medical Center PC

Practice address 102 10th Avenue West, Lisbon, ND, 58054

Phone (701) 683-2214

Fax (701) 683-2130

Enumeration date Jul 31, 2006

Last updated in NPPES Jun 9, 2009

Taxonomy & classification

261QC1500X Community Health Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Theresa Kelly

Title Administrator

Phone (701) 742-3267

Other identifiers

Identifier	Type	State	Issuer
10336	Medicaid	ND	-
6638001	Other	ND	BLUE SHIELD
CF8850	Other	ND	RAILROAD MEDICARE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2009-06-09. Verify at npiregistry.cms.hhs.gov.

Where is Southeast Medical Center PC located?

The practice location on file with NPPES is in Lisbon, ND.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-06-09.