Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Legacy Primary Care PLLC

Organization Adult Medicine Physician · NPI 1265277115

Legacy Primary Care PLLC is an Adult Medicine Physician in Grand Forks, North Dakota. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2100 S Columbia Rd Ste 114
Grand Forks, ND 58201-5895
Phone: (701) 516-4637
Fax: (877) 651-1381
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Medicine Physician (primary) Taxonomy 207QA0505X

Record details

NPI number1265277115
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Heidi Williams — Cred Spec · (605) 846-8239
NPI enumeratedJuly 1, 2024
Last updated in NPPESJuly 1, 2024
Certification dateJuly 1, 2024
Mailing address19580 Scout Ln, Saint Onge, SD 57779-7913