Red River Human Services Foundation | |
1693 6th St W West Fargo ND 58078-4624 | |
(701) 532-3419 | |
Not Available |
Full Name | Red River Human Services Foundation |
---|---|
Speciality | Community/behavioral Health |
Location | 1693 6th St W, West Fargo, North Dakota |
Authorized Official Name and Position | Rita Sackett (FINANCIAL DIRECTOR) |
Authorized Official Contact | 7015323402 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Red River Human Services Foundation 2506 35th Ave S Ste A Fargo ND 58104-8897 Ph: (701) 532-3402 | Red River Human Services Foundation 1693 6th St W West Fargo ND 58078-4624 Ph: (701) 532-3419 |
NPI Number | 1548860026 |
---|---|
Provider Enumeration Date | 10/26/2020 |
Last Update Date | 10/26/2020 |
Certification Date | 10/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548860026 | NPI | - | NPPES |
1455771 | Medicaid | ND |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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