FARGO VAMC (NPI# 1023426913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023426913 |
| Entity Type | Organization |
| Organization Name | FARGO VAMC |
| Other Organization Name | STARK COUNTY VA CBOC |
| Practice Address |
766 Elks Dr Ste 6h Dickinson ND 58601-2915 |
| Mailing Address |
Po Box 94452 Cleveland OH 44101-4452 |
| Practice Telephone | 9135784409 |
| Mailing Telephone | 9135784409 |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2018-09-19 |
| Authorized Official Name | ERIN POTTER (NPI TEAM MEMBER) |
| Authorized Official Telephone | 2023822579 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QV0200X |
Clinic/Center Specialization: VA |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| DICKINSON VA CLINIC | Other Name - Individual/Organization |
| STARK COUNTY VA CBOC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194358739 | Fargo Vamc | Clinic/Center | 721 1st Ave N, Fargo, ND 58102-4903 | 2020-02-21 |
| 1851796072 | Fargo Vamc | Clinic/Center | 1031 7th Street Northeast, Devils Lake, ND 58301-5830 | 2014-10-30 |
| 1346437944 | Fargo Vamc | Clinic/Center | 1217 Anne St Nw, Bemidji, MN 56601-5113 | 2007-09-27 |
| 1598952194 | Fargo Vamc | Clinic/Center | 1542 16th St W Ste 300, Williston, ND 58801-3888 | 2007-09-27 |
| 1528006574 | Fargo Vamc | Clinic/Center | 3400 S Broadway, Minot, ND 58701-7420 | 2006-06-03 |
| 1457306813 | Fargo Vamc | Clinic/Center | 1319 West 11th Street, Grafton, ND 58237-2138 | 2006-05-24 |
| 1407809478 | Fargo Vamc | Clinic/Center | 1821 N Park St, Fergus Falls Va Outpatient Clinic, Fergus Falls, MN 56537-1247 | 2006-05-18 |
| 1578514154 | Fargo Vamc | Clinic/Center | 2700 State St, Gateway Mall, Bismarck, ND 58503-0669 | 2006-05-16 |
| 1225445463 | Fargo Vamc | Clinic/Center | 2430 20th St Sw, Suite 8, Jamestown, ND 58401-6201 | 2014-07-21 |
| 1811220742 | Fargo Vamc | Clinic/Center | 3221 32nd Ave S, Suite 700, Grand Forks, ND 58201-6071 | 2009-09-10 |
| Street Address |
766 ELKS DR STE 6H |
| City | DICKINSON |
| State | ND |
| Zip Code | 58601-2915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679171235 | Able Inc | Community/Behavioral Health | 1951 1st Street West, Dickinson, ND 58601 | 2020-10-15 |
| 1922626456 | Tess R Johnson, Pllc | Clinic/Center | 579 River Drive, Dickinson, ND 58601 | 2020-07-10 |
| 1295367449 | Winds of Change Counseling Services LLC | Psychologist | 30 7th St. W, Door A, Dickinson, ND 58601 | 2020-02-05 |
| 1588194351 | Nancy Wanner | Case Manager/Care Coordinator | 135 Sims Street, Suite 208, Dickinson, ND 58601 | 2017-06-14 |
| 1518332352 | Chi St. Joseph's Hospital | General Acute Care Hospital | 2500 Fairway St., Dickinson, ND 58601 | 2015-12-04 |
| 1205200359 | Jenna Weisz | Occupational Therapist | 870 Pheasant Run Ave, Dickinson, ND 58601 | 2015-11-29 |
| 1609243450 | Little Missouri Chiropractic, LLC | Chiropractor | 1462 1-94 Business Loop East, Dickinson, ND 58601 | 2015-08-27 |
| 1053799320 | Lisette Michaels | Speech-Language Pathologist | 683 State Ave N, Dickinson, ND 58601 | 2015-05-07 |
| 1336548221 | Neal Steiner | Pharmacist | 352c 1st St E, Dickinson, ND 58601 | 2014-08-18 |
| 1841607793 | Isaac Akinola | Pharmacist | 1681 Third Ave W., Dickinson, ND 58601 | 2014-07-11 |
| Find all providers in zip 58601 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194358739 | Fargo Vamc | Clinic/Center | 721 1st Ave N, Fargo, ND 58102-4903 | 2020-02-21 |
| 1851796072 | Fargo Vamc | Clinic/Center | 1031 7th Street Northeast, Devils Lake, ND 58301-5830 | 2014-10-30 |
| 1598952194 | Fargo Vamc | Clinic/Center | 1542 16th St W Ste 300, Williston, ND 58801-3888 | 2007-09-27 |
| 1528006574 | Fargo Vamc | Clinic/Center | 3400 S Broadway, Minot, ND 58701-7420 | 2006-06-03 |
| 1457306813 | Fargo Vamc | Clinic/Center | 1319 West 11th Street, Grafton, ND 58237-2138 | 2006-05-24 |
| 1578514154 | Fargo Vamc | Clinic/Center | 2700 State St, Gateway Mall, Bismarck, ND 58503-0669 | 2006-05-16 |
| 1225445463 | Fargo Vamc | Clinic/Center | 2430 20th St Sw, Suite 8, Jamestown, ND 58401-6201 | 2014-07-21 |
| 1811220742 | Fargo Vamc | Clinic/Center | 3221 32nd Ave S, Suite 700, Grand Forks, ND 58201-6071 | 2009-09-10 |
Please comment or provide details below to improve the information on FARGO VAMC.
| 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.