FARGO VAMC (NPI# 1598952194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598952194 |
| Entity Type | Organization |
| Organization Name | FARGO VAMC |
| Other Organization Name | WILLISTON VA CLINIC |
| Practice Address |
1542 16th St W Ste 300 Williston ND 58801-3888 |
| Mailing Address |
Po Box 94452 Cleveland OH 44101-4452 |
| Practice Telephone | 9135784409 |
| Mailing Telephone | 9135784409 |
| Enumeration Date | 2007-09-27 |
| 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 |
|---|---|
| Williston VA CBOC | Other Name - Individual/Organization |
| WILLISTON VA CLINIC | 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 |
| 1023426913 | Fargo Vamc | Clinic/Center | 766 Elks Dr Ste 6h, Dickinson, ND 58601-2915 | 2014-07-24 |
| 1346437944 | Fargo Vamc | Clinic/Center | 1217 Anne St Nw, Bemidji, MN 56601-5113 | 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 |
1542 16TH ST W STE 300 |
| City | WILLISTON |
| State | ND |
| Zip Code | 58801-3888 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952868556 | Purpose Driven Interventions | Counselor | 1502 13th Ave West, Williston, ND 58801 | 2019-03-01 |
| 1437637501 | Camille Ann Settelmeyer | Nurse Practitioner | 1213 15th Avenue West, Williston, ND 58801 | 2018-08-01 |
| 1801317417 | Shelby Laine Carlson | Physical Therapist | 1502 13th Ave W Suite 101, Williston, ND 58801 | 2017-07-05 |
| 1710418579 | Catrina Louise Lindvig | Chiropractor | 1135 2nd Ave W Ste 203, Williston, ND 58801 | 2017-03-23 |
| 1801337415 | Selah Counseling | Clinic/Center | 125 Main St, Suite #220, Williston, ND 58801 | 2017-03-15 |
| 1316485634 | Theresa E Scully | Social Worker | 125 Main St; Unit 220, Williston, ND 58801 | 2017-02-07 |
| 1346792256 | Donna Peterson | Social Worker | 1500 14th St Sw, Suite 250, Williston, ND 58801 | 2016-10-26 |
| 1730509084 | Lacey Thompson | Case Manager/Care Coordinator | 110 West Broadway, Suite 202, Williston, ND 58801 | 2014-04-24 |
| 1770904708 | Kayla Jo Rossland | Physical Therapist | 221 University Ave Ste 203, Williston, ND 58801 | 2013-12-17 |
| 1285072710 | Susan Mae Bradford | Counselor | 612 4th St. E., Williston, ND 58801 | 2013-06-06 |
| Find all providers in zip 58801 | ||||
| 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 |
| 1023426913 | Fargo Vamc | Clinic/Center | 766 Elks Dr Ste 6h, Dickinson, ND 58601-2915 | 2014-07-24 |
| 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.