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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
Other Name | Type Code |
---|---|
7 Day Walk In Clinic | Other Name - Individual/Organization |
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 |
Street Address |
1100 19TH AVE N |
City | FARGO |
State | ND |
Zip Code | 58102-5906 |
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 |
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 | 332900000X |
Grouping | Suppliers |
Classification | Non-Pharmacy Dispensing Site |
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] |
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 |
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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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.