Organization
PROFESSIONAL REHABILITATION CENTER INC
Active
Parent organization
PROFESSIONAL REHABILITATION CENTER, INC
Other names
Pro Rehab Center, Inc
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROFESSIONAL REHABILITATION CENTER, INC
Authorized official
MS. TINA D FONDER (OFFICE MANAGER)
(701) 451-9417
Entity
Organization
Contact information
Practice address
4450 31ST AVE S STE 104, FARGO, ND 58104-4557
(701) 451-9417
(701) 298-0066
Mailing address
4450 31ST AVE S STE 104, FARGO, ND 58104-4557
(701) 451-9417
(701) 298-0066
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
ND
225X00000X
Occupational Therapist
—
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018T6PR
BLUE PLUS OF MINNESOTA
MN
05
—
53165
—
ND
05
—
53170
—
ND
01
—
5517001
BLUE CROSS BLUE SHIELD ND
ND
05
—
552323100
—
MN
01
—
O18T6PR
BLUE CROSS BLUE SHIELD MN
MN
Enumeration date
11/01/2006
Last updated
10/29/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us