| Fargo Cass Public Health | |
|
1240 25th St S Fargo ND 58103 | |
| (701) 241-1360 | |
| (701) 241-1366 |
| Full Name | Fargo Cass Public Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 1240 25th St S, Fargo, North Dakota |
| Authorized Official Name and Position | Melissa Perala (ACCOUNTANT) |
| Authorized Official Contact | 7012411392 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fargo Cass Public Health 1240 25th St S Fargo ND 58103-2367 Ph: (701) 241-1360 | Fargo Cass Public Health 1240 25th St S Fargo ND 58103 Ph: (701) 241-1360 |
| NPI Number | 1891879839 |
|---|---|
| Provider Enumeration Date | 10/25/2006 |
| Last Update Date | 09/22/2015 |
| Medicare PECOS PAC ID | 3173505328 |
|---|---|
| Medicare Enrollment ID | O20041006000701 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891879839 | NPI | - | NPPES |
| 53579 | Medicaid | ND | |
| 38973 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0905X | Clinic/center - Public Health, State Or Local | (* (Not Available)) | Primary |
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