Organization
CLINIC FHSC PC
Active
Organization
CLINIC FHSC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN JENKINS DC (OWNER)
(701) 492-0696
Entity
Organization
Contact information
Practice address
1207 PRAIRIE PKWY, WEST FARGO, ND 58078-3145
(701) 492-0696
Mailing address
1207 PRAIRIE PKWY, WEST FARGO, ND 58078-3145
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01B40TH
BLUE CROSS BLUE SHIELD MN
MN
05
—
1451977
—
ND
01
—
22991
BLUE CROSS BLUE SHIELD ND
ND
01
—
DE5709
MEDICARE RAILROAD
ND
Enumeration date
02/15/2008
Last updated
12/16/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up