Full Name | Fraser, Ltd |
---|---|
Speciality | Community/behavioral Health |
Location | 717 University Dr S, Fargo, North Dakota |
Authorized Official Name and Position | Amanda Barton (DIRECTOR OF ACCOUNTING) |
Authorized Official Contact | 7012323301 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Fraser, Ltd 2902 University Dr S Fargo ND 58103-6032 Ph: () - | Fraser, Ltd 717 University Dr S Fargo ND 58103-2679 Ph: (701) 232-3301 |
NPI Number | 1083213045 |
---|---|
Provider Enumeration Date | 10/21/2020 |
Last Update Date | 10/21/2020 |
Certification Date | 10/19/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083213045 | NPI | - | NPPES |
1455840 | Medicaid | ND |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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