VILLAGE FAMILY SERVICE CENTER NPI 1952679318

NPI Information

NPI: 1952679318
Provider Name: VILLAGE FAMILY SERVICE CENTER
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
2701 12TH AVE S
FARGO, ND
ZIP 58103
Phone: (701) 293-3384
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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 1952679318. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2701 12TH AVE S
FARGO, ND
ZIP 58103-753
Phone: (701) 293-3384
Fax: (701) 293-3384

The provider's authorized official is Candy Haugen .
The authorized official title is Vp Of Human Resources and has the following contact phone number (701) 451-4900.

The enumeration date for this NPI number is 12/13/2011 and was last updated on 10/30/2019.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)	1142	NORTH DAKOTA	No
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	1142	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	3Z71FI	OTHER	MINNESOTA	UBH
2	8441481	OTHER	MINNESOTA	BCBSMN

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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