HANS BJELLUM, MD, PC (NPI# 1679869697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679869697 |
| Entity Type | Organization |
| Organization Name | HANS BJELLUM, MD, PC |
| Other Organization Name | 7 DAY CLINIC |
| Practice Address |
4622 40th Ave S Fargo ND 58104-4394 |
| Mailing Address |
6501 City West Pkwy Eden Prairie MN 55344-3248 |
| Practice Telephone | 7012326211 |
| Mailing Telephone | 9526532525 |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2011-06-28 |
| Authorized Official Name | DR. HANS BJELLUM (PRESIDENT) |
| 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 Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023304045 | Hans Bjellum, Md, PC | Non-Pharmacy Dispensing Site | 1361 Wenner Rd, Detroit Lakes, MN 56501-7918 | 2011-06-28 |
| 1104112127 | Hans Bjellum, Md, PC | Non-Pharmacy Dispensing Site | 1517 32nd Ave S, Fargo, ND 58103-5905 | 2011-06-28 |
| 1568758589 | Hans Bjellum, Md, PC | Non-Pharmacy Dispensing Site | 720 Main Ave, Moorhead, MN 56560-2752 | 2011-06-28 |
| 1851547160 | Hans Bjellum, Md, PC | Clinic/Center | 1517 32nd Ave S, Fargo, ND 58103-5905 | 2008-08-18 |
| 1346496015 | Hans Bjellum, Md, PC | Clinic/Center | 1101 S Columbia Rd, Grand Forks, ND 58201-4055 | 2008-08-14 |
| 1255587929 | Hans Bjellum, Md, PC | Clinic/Center | 1361 Wenner Rd, Detroit Lakes, MN 56501-7918 | 2008-08-14 |
| 1790931467 | Hans Bjellum, Md, PC | Clinic/Center | 720 Main Ave, Moorhead, MN 56560-2752 | 2008-08-14 |
| 1619123593 | Hans Bjellum, Md, PC | Clinic/Center | 4622 40th Ave S, Fargo, ND 58104-4394 | 2008-08-12 |
| Street Address |
4622 40TH AVE S |
| City | FARGO |
| State | ND |
| Zip Code | 58104-4394 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487715405 | Nancy M Eastman | Physician Assistant | 4622 40th Ave S, Fargo, ND 58104-4394 | 2006-12-13 |
| 1003371782 | Kyrie Marie Severson | Nurse Practitioner | 4622 40th Ave S, Suite A, Fargo, ND 58104 | 2019-02-06 |
| 1144776576 | Innovis Health LLC | Optometrist | 4622 40th Ave S, Suite A, Fargo, ND 58104-4394 | 2016-08-26 |
| 1508213380 | Megan Hahn | Physician Assistant | 4622 40th Ave S, Fargo, ND 58104-4394 | 2016-05-20 |
| 1134583701 | Sarah Kathryn Bagley | Physician Assistant | 4622 40th Ave S, Fargo, ND 58104-4394 | 2016-04-11 |
| 1558799189 | Angela Ann Dolalie Kelsch | Nurse Practitioner | 4622 40th Ave S, Fargo, ND 58104-4394 | 2013-10-16 |
| 1184992364 | Osgood Eyecare Professionals, LLC | Optometrist | 4622 40th Ave S, Fargo, ND 58104-4394 | 2011-12-02 |
| 1316171903 | Amy Michelle Allard | Nurse Practitioner | 4622 40th Ave S, Fargo, ND 58104-4394 | 2009-05-11 |
| 1619123593 | Hans Bjellum, Md, PC | Clinic/Center | 4622 40th Ave S, Fargo, ND 58104-4394 | 2008-08-12 |
| 1821268004 | Rapidcare Urgent Care | Family Medicine | 4622 40th Ave S, Fargo, ND 58104-4394 | 2008-03-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043837347 | Pinnacle Therapy & Wellness, Pllc | Physical Therapist | 4500 36th Ave S Suite 100, Fargo, ND 58104 | 2020-07-02 |
| 1619509858 | Patricia Helen Bathie | Counselor | 4243 Auburn Ave., Fargo, ND 58104 | 2020-02-05 |
| 1346892866 | Elizabeth Olis | Registered Nurse | 2633 55th St. S, Apartment 202, Fargo, ND 58104 | 2019-07-15 |
| 1780247023 | Keith Kirimi Ndege | Physical Therapy Assistant | 5225 23rd Ave South, Fargo, ND 58104 | 2019-04-22 |
| 1346728557 | Ms4 Pllc | Pharmacy | 4476 31st Avenue South, Suite #105, Fargo, ND 58104 | 2018-07-31 |
| 1891286977 | Jessica Rae Majidian | Dentist | 3030 49th St S, Fargo, ND 58104 | 2018-05-23 |
| 1821588500 | Alissa Nichole Larson | Pharmacist | 5675 26th Ave S St. 136a, Fargo, ND 58104 | 2018-05-17 |
| 1790297430 | Northern Lights Dental | Dentist | 4150 19th Ave S, Suite 301, Fargo, ND 58104 | 2017-11-03 |
| 1619406733 | Cobalt Rehabilitation Hospital Fargo LLC | Rehabilitation Hospital | 4671 38th Street S, Fargo, ND 58104 | 2017-06-12 |
| 1790210318 | Homefield Health, LLC | Clinic/Center | 4141 31st Ave S., Ste 102, Fargo, ND 58104 | 2017-04-21 |
| Find all providers in zip 58104 | ||||
| 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 |
| 1073867263 | Hans Bjellum Md PC | Non-Pharmacy Dispensing Site | 1100 19th Ave N, Fargo, ND 58102-5906 | 2012-11-09 |
| 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.