NORTHPORT MEDICAL INC. NPI 1396915120

NPI Information

NPI: 1396915120
Provider Name: NORTHPORT MEDICAL INC.

Doing Business As: FARGO PSYCHIATRIC CLINIC

Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
2704 BROADWAY N
SUITE C
FARGO, ND
ZIP 58102
Phone: (701) 232-3100
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NORTHPORT MEDICAL INC. is an adult mental health clinic center in Fargo, ND. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. NORTHPORT MEDICAL INC. NPI is 1396915120. The provider is registered as an organization entity type.
The provider Is Doing Business As Fargo Psychiatric Clinic.

The provider's business location address is:

2704 BROADWAY N
SUITE C
FARGO, ND
ZIP 58102-487
Phone: (701) 232-3100
Fax: (701) 232-3135

The provider's authorized official is Harjinder K Virdee .
The authorized official title is Psychiatrist and has the following contact phone number (701) 232-3100.

The enumeration date for this NPI number is 3/7/2008 and was last updated on 3/7/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health	6528	NORTH DAKOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	22241	MEDICARE PIN	NORTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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