HANS BJELLUM MD PC


Address: 1100 19th Ave N, Fargo, ND 58102-5906
Phone: 7012326211

HANS BJELLUM MD PC (NPI# 1073867263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073867263
Entity Type Organization
Organization Name HANS BJELLUM MD PC
Other Organization Name 7 DAY WALK IN CLINIC
Practice Address 1100 19th Ave N
Fargo
ND 58102-5906
Mailing Address 6501 City West Pkwy
Eden Prairie
MN 55344-3248
Practice Telephone 7012326211
Mailing Telephone 9526532525
Enumeration Date 2012-11-09
Last Update Date 2012-11-09
Authorized Official Name HANS BJELLUM (CEO)
Authorized Official Telephone 7012326211
Authorized Official Credential M.D.
Is Organization Subpart Y
Parent Organization Name HANS BJELLUM MD PC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332900000X Non-Pharmacy Dispensing Site Suppliers

Other Provider/Organization Names

Other Name Type Code
7 Day Walk In Clinic Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1841547387 Hans Bjellum Md PC Clinic/Center 1100 19th Ave N, Suite L&m, Fargo, ND 58102-5906 2012-08-14
1972769826 Hans Bjellum Md PC General Practice 1517 32nd Ave S, Fargo, ND 58103-5905 2008-07-30

Office Location

Street Address 1100 19TH AVE N
City FARGO
State ND
Zip Code 58102-5906

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679634661 Aaron Ross Sorvig Physical Therapist 1100 19th Ave N, Suite K, Fargo, ND 58102-5906 2006-12-13
1568918902 Innovis Health LLC Family Medicine 1100 19th Ave N, Suite L & M, Fargo, ND 58102-5906 2016-08-26
1841547387 Hans Bjellum Md PC Clinic/Center 1100 19th Ave N, Suite L&m, Fargo, ND 58102-5906 2012-08-14

Providers in the same zip code

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 Information

Taxonomy Code 332900000X
Grouping Suppliers
Classification Non-Pharmacy Dispensing Site

Taxonomy Definition

A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275675118 Internal Medicine Associates, Ltd. Non-Pharmacy Dispensing Site 1707 Gold Dr S, Suite 101, Fargo, ND 58103-6413 2007-02-13
1144710658 Innovis Health, LLC Non-Pharmacy Dispensing Site 4110 51st Ave S, Fargo, ND 58104-7776 2018-05-10
1679869697 Hans Bjellum, Md, PC Non-Pharmacy Dispensing Site 4622 40th Ave S, Fargo, ND 58104-4394 2011-06-28
1104112127 Hans Bjellum, Md, PC Non-Pharmacy Dispensing Site 1517 32nd Ave S, Fargo, ND 58103-5905 2011-06-28
1336318567 Innovis Health Non-Pharmacy Dispensing Site 3000 32nd Ave Sw, Fargo, ND 58103-6132 2008-02-21
1881736940 Sutter Health Non-Pharmacy Dispensing Site 3902 13th Ave S, Fargo, ND 58103-3357 2007-02-13
1083756142 Innovis Health Non-Pharmacy Dispensing Site 1702 University Dr S, Fargo, ND 58103-4940 2007-02-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1700444619 St Alexius Medical Center Non-Pharmacy Dispensing Site 807 East Main Suite A, Bismarck, ND 58503 2019-06-05
1437717576 St Alexius Medical Center Non-Pharmacy Dispensing Site 921 W Interstate Ave, Bismarck, ND 58503-0955 2019-06-04
1548870520 Mckenzie County Healthcare Systems Inc Non-Pharmacy Dispensing Site 709 4th Ave Ne, Watford City, ND 58854-7628 2020-08-05
1538727441 St Alexius Medical Center Non-Pharmacy Dispensing Site 4315 Ottawa St, Bismarck, ND 58503 2019-06-05
1225433485 St Josephs Hospital and Health Center Non-Pharmacy Dispensing Site 30 7th St W, Dickinson, ND 58601-4335 2014-10-30
1457629834 Altru Health System Non-Pharmacy Dispensing Site 1200 S Columbia Rd, Grand Forks, ND 58201-4036 2011-12-13
1790060937 Mercy Medical Center Non-Pharmacy Dispensing Site 1301 15th Ave W, Williston, ND 58801-3821 2011-10-19
1851691596 Trinity Hospitals Non-Pharmacy Dispensing Site 1 Burdick Expy W, Minot, ND 58701-4406 2010-10-28
1508182684 P R Health Corporation Non-Pharmacy Dispensing Site 115 Vivian St W, Park River, ND 58270-4540 2010-04-14
1174662852 Altru Family Medicine Center Non-Pharmacy Dispensing Site 1380 S Columbia Rd, Grand Forks, ND 58201-4059 2007-02-06
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Competitor

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City FARGO
Zip Code 58102

Improve Information

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Dataset Information

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.

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