VILLAGE FAMILY SERVICE CENTER NPI 1568492353

NPI Information

NPI: 1568492353
Provider Name: VILLAGE FAMILY SERVICE CENTER
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
1201 25TH ST S
FARGO, ND
ZIP 58106
Phone: (701) 451-4900
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VILLAGE FAMILY SERVICE CENTER is a mental health (including community mental health center) clinic center in Fargo, ND. VILLAGE FAMILY SERVICE CENTER NPI is 1568492353. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1201 25TH ST S
FARGO, ND
ZIP 58106-859
Phone: (701) 451-4900
Fax: (701) 451-5056

The provider's authorized official is Doug Vang .
The authorized official title is President/ceo and has the following contact phone number (701) 451-4900.

The enumeration date for this NPI number is 7/4/2006 and was last updated on 9/19/2017.

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	101YM0800X	Counselor	Mental Health			No
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	316-8-1-95-97	NORTH DAKOTA	Yes
3	261QR0400X	Clinic/Center	Rehabilitation			No

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	N1000283	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

NPI Synchronization or Removal

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