CITY OF FARGO (NPI# 1063686640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063686640 |
| Entity Type | Organization |
| Organization Name | CITY OF FARGO |
| Other Organization Name | FARGO CASS PUBLIC HEALTH IMMUNIZATIONS |
| Practice Address |
401 3rd Ave N Fargo ND 58102-4811 |
| Practice Telephone | 7012411392 |
| Mailing Telephone | 7012411392 |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2008-04-15 |
| Authorized Official Name | MELISSA PERALA (ACCOUTANT) |
| Authorized Official Telephone | 7012411392 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | Agencies |
| Other Name | Type Code |
|---|---|
| Fargo Cass Public Health Immunizations | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891879839 | City of Fargo | Clinic/Center | 1240 25th St S, Fargo, ND 58103 | 2006-10-25 |
| 1447335245 | City of Fargo | Clinic/Center | 1240 25th St S, Fargo, ND 58103-2367 | 2006-10-27 |
| 1528143328 | City of Fargo | Public Health or Welfare | 401 3rd Ave N, Fargo, ND 58102-4811 | 2006-10-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CITY OF FARGO | 200 3rd St N, Fargo, ND 58102-4809 |
| Street Address |
401 3RD AVE N |
| City | FARGO |
| State | ND |
| Zip Code | 58102-4811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356426415 | Deborah Nelson | Nurse Practitioner | 401 3rd Ave N, Fargo, ND 58102-4811 | 2006-10-26 |
| 1528143328 | City of Fargo | Public Health or Welfare | 401 3rd Ave N, Fargo, ND 58102-4811 | 2006-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780285924 | Shelley Dene Townsend-hansen | Dentist | 1017 Broadway N, Fargo, ND 58102 | 2020-11-04 |
| 1275190779 | Anthony Joseph Duncan | Student in an Organized Health Care Education/Training Program | 1919 Elm Streent North, Fargo, ND 58102 | 2019-05-21 |
| 1003472317 | Sadie Marie Nelson | Nurse Practitioner | Sanford Broadway Clinic, 801 North Broadway, Fargo, ND 58102 | 2019-05-13 |
| 1124523576 | Christopher Peroutka | Specialist/Technologist | 1300 17th Ave N, Fargo, ND 58102 | 2018-03-28 |
| 1205331873 | Nathan Koens | Specialist/Technologist | 1300 17th Avenue North, Fargo, ND 58102 | 2018-03-27 |
| 1376063370 | Abby Nicole Fredrickson | Student in an Organized Health Care Education/Training Program | 1919 Elm Street North, Fargo, ND 58102 | 2017-06-21 |
| 1780118331 | Stephanie Melquist | Internal Medicine | Internal Medicine Resident Clinic, 801 N Broadway, Fargo, ND 58102 | 2017-04-19 |
| 1104215623 | Justin Lervik | Social Worker | 211 Elm St. N, 122, Fargo, ND 58102 | 2015-01-21 |
| 1770919441 | Courtney Ann Simanski | Speech-Language Pathologist | 415 4th St. N., Fargo, ND 58102 | 2013-09-25 |
| 1821431206 | Lanell Staroba | Pharmacist | 706 D 38th St, Fargo, ND 58102 | 2013-04-16 |
| Find all providers in zip 58102 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124292958 | Fraser, Ltd. | Public Health or Welfare | 2726 18th St S, Fargo, ND 58103-6710 | 2008-04-14 |
| 1528143328 | City of Fargo | Public Health or Welfare | 401 3rd Ave N, Fargo, ND 58102-4811 | 2006-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700274891 | Pierce County Social Services | Public Health or Welfare | 240 2nd St. Se, Suite 2, Rugby, ND 58368 | 2014-12-26 |
| 1497157895 | West River Head Start | Public Health or Welfare | 1004 7th St Nw, Mandan, ND 58554 | 2014-09-17 |
| 1427469584 | Nelson County Social Services | Public Health or Welfare | 210 B Ave W, Suite 104, Lakota, ND 58344-7410 | 2014-05-12 |
| 1619295581 | Ascent Health Resources, Inc. | Public Health or Welfare | 133 3rd Steet, Minto, ND 58261-0373 | 2010-05-17 |
| 1215190574 | State of Nd Central Office of Management & Budget | Public Health or Welfare | 600 East Boulevard Avenue, Bismarck, ND 58505-0250 | 2008-07-08 |
| 1730353574 | Fraser, Ltd | Public Health or Welfare | 631 22nd St E, West Fargo, ND 58078-2334 | 2008-04-14 |
| 1770756041 | Fraser, Ltd | Public Health or Welfare | 651 12 1/2 Ave E, West Fargo, ND 58078-3058 | 2008-04-08 |
| 1063613438 | County of Dickey | Public Health or Welfare | 205 15th Street North, Ellendale, ND 58436 | 2007-05-31 |
| 1952511438 | Emmons District Health Unit | Public Health or Welfare | 118 E Spruce Ave, Linton, ND 58552 | 2007-05-23 |
| 1346468808 | Southwestern Dist Health Unit | Public Health or Welfare | 2869 3rd Ave W, Dickinson, ND 58601 | 2007-04-23 |
| Find all providers with the same taxonomy | ||||
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| 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.