Organization
CITY OF FARGO
Active
Other names
Fargo Cass Public Health
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA PERALA (ACCOUNTANT)
(701) 241-1392
Entity
Organization
Contact information
Practice address
1240 25TH ST S, FARGO, ND 58103
(701) 241-1360
(701) 241-1366
Mailing address
1240 25TH ST S, FARGO, ND 58103-2367
(701) 241-1360
(701) 241-1366
Taxonomy
Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38973
—
ND
05
—
53579
—
ND
Enumeration date
10/25/2006
Last updated
09/22/2015
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