Fargo Vamc
Clinic/Center, VA in Fargo, ND. Organization (NPI-2).
NPI number1194358739
StatusActive
Last updated in NPPESApr 27, 2020
Details
- NPI
- 1194358739
- Entity type
- Organization (NPI-2)
- Legal business name
- Fargo Vamc
- Organization subpart
- No
- Enumeration date
- Feb 21, 2020
- Certification date
- Apr 27, 2020
- Last updated
- Apr 27, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QV0200X | Clinic/Center, VA | – | – | Yes |
Other names
- Fargo Va Clinic (Other Name)
Practice location
721 1st Ave NFargo, ND 58102-4903
Phone 913-578-4409 · Fax 913-578-4536
Mailing address
Po Box 94452Cleveland, OH 44101-4452
Phone 913-578-4409 · Fax 913-578-4536
Authorized official
Erin Denise Potter
Npi Team Lead
2023822579
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