| West Fargo Public School District 6 1915i | |
|
2028 2nd Ave Nw West Fargo ND 58078-1317 | |
| (701) 356-2000 | |
| Not Available |
| Full Name | West Fargo Public School District 6 1915i |
|---|---|
| Speciality | Case Management |
| Location | 2028 2nd Ave Nw, West Fargo, North Dakota |
| Authorized Official Name and Position | Penny Henderson (MEDICAID SPECIALIST) |
| Authorized Official Contact | 7013562000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Fargo Public School District 6 1915i 2028 2nd Ave Nw West Fargo ND 58078-1317 Ph: () - | West Fargo Public School District 6 1915i 2028 2nd Ave Nw West Fargo ND 58078-1317 Ph: (701) 356-2000 |
| NPI Number | 1861370124 |
|---|---|
| Provider Enumeration Date | 08/25/2025 |
| Last Update Date | 08/25/2025 |
| Certification Date | 08/25/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861370124 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Primary |
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