CLINIC FHSC PC (NPI# 1023286614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023286614 |
| Entity Type | Organization |
| Organization Name | CLINIC FHSC PC |
| Practice Address |
1207 Prairie Pkwy West Fargo ND 58078-3145 |
| Practice Telephone | 7014920696 |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2018-12-16 |
| Authorized Official Name | RYAN JENKINS (OWNER) |
| Authorized Official Telephone | 7014920696 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BLUE CROSS BLUE SHIELD MN | 01B40TH | 01 |
| ND | BLUE CROSS BLUE SHIELD ND | 22991 | 01 |
| ND | 1451977 | 05 | |
| ND | MEDICARE RAILROAD | DE5709 | 01 |
| Street Address |
1207 PRAIRIE PKWY |
| City | WEST FARGO |
| State | ND |
| Zip Code | 58078-3145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255404711 | Ryan Thomas Jenkins | Chiropractor | 1207 Prairie Pkwy, West Fargo, ND 58078-3145 | 2006-11-15 |
| 1811265903 | Samantha Kiecker | Chiropractor | 1207 Prairie Pkwy, West Fargo, ND 58078 | 2011-12-05 |
| 1003085523 | John Gregory Dye | Optometrist | 1207 Prairie Pkwy, West Fargo, ND 58078-3145 | 2008-02-28 |
| 1275729741 | Danielle Helgeson Therapy | Speech-Language Pathologist | 1207 Prairie Pkwy, Suite A, West Fargo, ND 58078-3145 | 2007-09-19 |
| 1255522157 | Kristin Murch | Occupational Therapist | 1207 Prairie Pkwy, Suite A, West Fargo, ND 58078-3145 | 2007-08-06 |
| 1851595151 | Angela Villarreal | Speech-Language Pathologist | 1207 Prairie Pkwy, Ste. A, West Fargo, ND 58078-3145 | 2007-06-12 |
| 1699977967 | Maureen Tomaszewski | Physical Therapist | 1207 Prairie Pkwy, Suite A, West Fargo, ND 58078-3145 | 2007-05-31 |
| 1457553703 | Stefanie R Kaiser | Speech-Language Pathologist | 1207 Prairie Pkwy, Suite A, West Fargo, ND 58078-3145 | 2007-05-31 |
| 1700943966 | Fm Wellness Connection, Ltd | Occupational Therapist | 1207 Prairie Pkwy, Ste. A, West Fargo, ND 58078-3145 | 2007-01-03 |
| 1689731879 | Leaps and Bounds Speech Services, Inc. | Speech-Language Pathologist | 1207 Prairie Pkwy, Ste. A, West Fargo, ND 58078-3145 | 2007-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982205068 | Ashley Kasson Therapy | Counselor | 3220 4th St E, West Fargo, ND 58078 | 2020-11-04 |
| 1427658624 | Deedee (dorin) Ngwe | Technician | 3240 9th S West Apt. 204, West Fargo, ND 58078 | 2020-10-27 |
| 1053879734 | Mpnd,inc | Pharmacy | 2050 Sheyenne Street, West Fargo, ND 58078 | 2019-03-12 |
| 1396239216 | Luke Gable | Behavior Technician | 647 13th Avenue South, West Fargo, ND 58078 | 2018-06-15 |
| 1629597919 | Cody Freng | Specialist/Technologist | 3276 9th St W Apt C, West Fargo, ND 58078 | 2017-09-18 |
| 1831613942 | Lauren Phyllis Loe | Physical Therapist | 1401 13th Avenue East, Essentia Health West Fargo Clinic, West Fargo, ND 58078 | 2017-07-31 |
| 1851746226 | Jodi Kilen | Occupational Therapy Assistant | 631 4th Ave East, West Fargo, ND 58078 | 2016-05-04 |
| 1922490101 | Betty Ann Helmer | Social Worker | 2355 Meadow Ridge Parkway, West Fargo, ND 58078 | 2015-02-25 |
| 1477972784 | Tessa Nicole Larson | Occupational Therapist | 3139 Bluestem Dr Ste 108, West Fargo, ND 58078 | 2014-04-15 |
| 1023432010 | Kaylyn Kortes | Licensed Practical Nurse | 1302 Sheyenne St, West Fargo, ND 58078 | 2014-02-11 |
| Find all providers in zip 58078 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093172827 | Terry N Braun Counseling LLC | Clinic/Center | 1042 14th Ave E Ste 210, West Fargo, ND 58078-3363 | 2016-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104441641 | Altru Health System | Clinic/Center | 233 Towner Ave, Larimore, ND 58251 | 2020-06-10 |
| 1316580343 | Moos Family Chiropractic LLC | Clinic/Center | 517 S 5th St, Bismarck, ND 58504-5702 | 2019-10-22 |
| 1679139323 | St Aloisius Hospital Inc | Clinic/Center | 61 Main Ave S, Fessenden, ND 58438-7101 | 2019-05-17 |
| 1225503972 | Central Dakota Forensic Nurse Examiners | Clinic/Center | 1929 N Washington St Ste W, Bismarck, ND 58501-1616 | 2018-10-09 |
| 1003399064 | Ideal Option, Pllc | Clinic/Center | 44 24th St E, Dickinson, ND 58601-6576 | 2018-09-14 |
| 1174001416 | Ideal Option, Pllc | Clinic/Center | 1260 W Villard St Unit 1, Dickinson, ND 58601-4848 | 2018-07-30 |
| 1376020396 | Ideal Option, Pllc | Clinic/Center | 3520 N Broadway, Minot, ND 58703-0513 | 2018-07-23 |
| 1518462894 | Ideal Option, Pllc | Clinic/Center | 316 2nd Ave W Ste 1, Williston, ND 58801-5218 | 2018-03-28 |
| 1720588171 | Ideal Option, Pllc | Clinic/Center | 3301 30th Ave S Ste 102, Grand Forks, ND 58201-6009 | 2018-02-12 |
| 1043676257 | Hochhalter Chiropractic, PC | Clinic/Center | 118 2nd Street Nw, Jamestown, ND 58401-3117 | 2016-01-05 |
| Find all providers with the same taxonomy | ||||
| City | WEST FARGO |
| Zip Code | 58078 |
Please comment or provide details below to improve the information on CLINIC FHSC PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.