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Organization

CHI HEALTH CONNECT AT HOME-FARGO

Active
Parent organization
COMMONSPIRIT HEALTH
Other names
CHI Health at Home
Organization subpart
Yes

Provider details

NPI number
Legal business name
COMMONSPIRIT HEALTH
Authorized official
NICOLE PEYERL (DIRECTOR OPERATIONS/AUTH OFFICIAL)
(701) 238-3206
Entity
Organization

Contact information

Practice address
1301 15TH AVE W, WILLISTON, ND 58801-3821
(701) 774-7430
(701) 774-7465
Mailing address
4265 45TH ST S STE 200, FARGO, ND 58104-4309
(701) 237-8116
(701) 237-8188

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
4033A
ND
251E00000X
Home Health Agency
Primary
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4033
ND
Enumeration date
08/02/2010
Last updated
01/22/2024
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