| Red River Human Services Foundation | |
|
1689 6th St W West Fargo ND 58078-4624 | |
| (701) 532-3417 | |
| Not Available |
| Full Name | Red River Human Services Foundation |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1689 6th St W, West Fargo, North Dakota |
| Authorized Official Name and Position | Rita Sackett (FINANCIAL DIRECTOR) |
| Authorized Official Contact | 7015323402 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Red River Human Services Foundation 2506 35th Ave S Ste A Fargo ND 58104-8897 Ph: (701) 532-3402 | Red River Human Services Foundation 1689 6th St W West Fargo ND 58078-4624 Ph: (701) 532-3417 |
| NPI Number | 1003416587 |
|---|---|
| Provider Enumeration Date | 10/26/2020 |
| Last Update Date | 10/26/2020 |
| Certification Date | 10/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003416587 | NPI | - | NPPES |
| 1455769 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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