Minnesota State University-Moorhead
Clinic/Center in Moorhead, MN. Organization (NPI-2).
NPI number1306384649
StatusActive
Last updated in NPPESFeb 7, 2017
Details
- NPI
- 1306384649
- Entity type
- Organization (NPI-2)
- Legal business name
- Minnesota State University-Moorhead
- Organization subpart
- Yes
- Enumeration date
- Feb 7, 2017
- Last updated
- Feb 7, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | 5512 | MN | Yes |
Practice location
1104 7th Ave SMoorhead, MN 56563-0001
Phone 218-477-2385
Mailing address
1104 7th Ave SMoorhead, MN 56563-0001
Phone 218-477-2385
Authorized official
Michelle Marian Iverson
Speech Language Pathologist
2184772385
Is something wrong?
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