FARGO VAMC (NPI# 1811220742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811220742 |
| Entity Type | Organization |
| Organization Name | FARGO VAMC |
| Other Organization Name | GRAND FORKS VA CBOC |
| Practice Address |
3221 32nd Ave S Suite 700 Grand Forks ND 58201-6071 |
| Mailing Address |
Po Box 94452 Cleveland OH 44101-4452 |
| Practice Telephone | 9135784409 |
| Mailing Telephone | 9135784409 |
| Enumeration Date | 2009-09-10 |
| Last Update Date | 2017-12-11 |
| 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 |
|---|---|
| Grand Forks VA CBOC | 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 |
| 1598952194 | Fargo Vamc | Clinic/Center | 1542 16th St W Ste 300, Williston, ND 58801-3888 | 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 |
| Street Address |
3221 32ND AVE S SUITE 700 |
| City | GRAND FORKS |
| State | ND |
| Zip Code | 58201-6071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265678056 | Strinden Vision | Clinic/Center | 3221 32nd Ave S, Suite 300, Grand Forks, ND 58201-6071 | 2008-12-28 |
| 1851642334 | Paula M Lundgren | Social Worker | 3221 32nd Ave S, Suite 700, Grand Forks, ND 58201-6071 | 2012-09-25 |
| 1033439708 | Strinden Vision Inc | Optometrist | 3221 32nd Ave S, Grand Forks, ND 58201-6071 | 2010-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255965398 | Development Homes Inc | Intermediate Care Facility, Mentally Retarded | 5509 Cottonwood Street, Grand Forks, ND 58201 | 2020-02-27 |
| 1932753779 | Lydia Pansegrau | Occupational Therapist | 2950 36th Ave S, Apt A-11, Grand Forks, ND 58201 | 2019-07-30 |
| 1407416019 | Kristina Aikens | Optometrist | 1820 S 42nd St, Grand Forks, ND 58201 | 2019-06-17 |
| 1861963209 | Jessica Kovsky | Occupational Therapist | 1375 S Columbia Rd- Altru Performance Center, Grand Forks, ND 58201 | 2018-12-11 |
| 1609345834 | Altru Specialty Services, Inc | Durable Medical Equipment & Medical Supplies | 1375 South Columbia Road, Suite A, Grand Forks, ND 58201 | 2018-11-16 |
| 1225523004 | Alicia Mae Mack | Registered Nurse | 212 S. 4th St. Suite 301, Spectra Health, Grand Forks, ND 58201 | 2018-06-25 |
| 1396260808 | Amber White | Behavior Technician | 2016 S Washington St., Grand Forks, ND 58201 | 2017-08-04 |
| 1225579840 | Kathleen Suzanne Tillman | Psychologist | 2100 S Columbia Road, Suite 202, Family Institute, PC, Grand Forks, ND 58201 | 2017-03-15 |
| 1881148906 | Melissa Pytlik Monson | Physician Assistant | 1380 S Columbia Rd - Altru Family Medcine Center, Grand Forks, ND 58201 | 2016-08-05 |
| 1477936029 | Laura Jane Carlson | Nurse Practitioner | 3165 Demers Avenue - Truyu Aesthetic Center, Grand Forks, ND 58201 | 2015-07-01 |
| Find all providers in zip 58201 | ||||
| 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 |
| 1598952194 | Fargo Vamc | Clinic/Center | 1542 16th St W Ste 300, Williston, ND 58801-3888 | 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 |
| 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 |
| City | GRAND FORKS |
| Zip Code | 58201 |
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.