| The Village Family Service Center | |
|
1401 8th St S Moorhead MN 56560-3605 | |
| (701) 451-4855 | |
| Not Available |
| Full Name | The Village Family Service Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1401 8th St S, Moorhead, Minnesota |
| Authorized Official Name and Position | Douglas Vang (PRESIDENT/CEO) |
| Authorized Official Contact | 7014514900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Village Family Service Center 1201 25th St S Po Box 9859 Fargo ND 58103-2311 Ph: () - | The Village Family Service Center 1401 8th St S Moorhead MN 56560-3605 Ph: (701) 451-4855 |
| NPI Number | 1265963250 |
|---|---|
| Provider Enumeration Date | 03/22/2017 |
| Last Update Date | 11/09/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265963250 | NPI | - | NPPES |
| 454484600 | Medicaid | MN | |
| 596357500 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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