MYALLY HEALTH (NPI# 1194922328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194922328 |
| Entity Type | Organization |
| Organization Name | MYALLY HEALTH |
| Other Organization Name | MYALLY HEALTH |
| Practice Address |
4700 S Washington St Ste C Grand Forks ND 58201-8155 |
| Practice Telephone | 7017754251 |
| Practice Fax Number | 7017753160 |
| Mailing Telephone | 7017754251 |
| Mailing Fax Number | 7017753160 |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2019-10-03 |
| Authorized Official Name | KERRY ANDERSON (ADMINISTRATIVE MANAGER) |
| Authorized Official Telephone | 7017754251 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0050X |
Clinic/Center Specialization: Family Planning, Non-Surgical |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| MyAlly Health | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MYALLY HEALTH | 4700 S Washington St Ste C, Grand Forks, ND 58201-8155 |
| Street Address |
4700 S WASHINGTON ST STE C |
| City | GRAND FORKS |
| State | ND |
| Zip Code | 58201-8155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013559491 | Hannah Nelson | Nurse Practitioner | 4700 S Washington St Ste C, Grand Forks, ND 58201-8155 | 2019-10-17 |
| 1639693864 | Kimberly Nicole Williams | Nurse Practitioner | 4700 S Washington St Ste C, Grand Forks, ND 58201-8155 | 2017-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255965398 | Development Homes Inc | Intermediate Care Facility, Mentally Retarded | 5509 Cottonwood Street, Grand Forks, ND 58201 | 2020-02-27 |
| 1932753779 | Lydia Pansegrau | Occupational Therapist | 2950 36th Ave S, Apt A-11, Grand Forks, ND 58201 | 2019-07-30 |
| 1407416019 | Kristina Aikens | Optometrist | 1820 S 42nd St, Grand Forks, ND 58201 | 2019-06-17 |
| 1861963209 | Jessica Kovsky | Occupational Therapist | 1375 S Columbia Rd- Altru Performance Center, Grand Forks, ND 58201 | 2018-12-11 |
| 1609345834 | Altru Specialty Services, Inc | Durable Medical Equipment & Medical Supplies | 1375 South Columbia Road, Suite A, Grand Forks, ND 58201 | 2018-11-16 |
| 1225523004 | Alicia Mae Mack | Registered Nurse | 212 S. 4th St. Suite 301, Spectra Health, Grand Forks, ND 58201 | 2018-06-25 |
| 1396260808 | Amber White | Behavior Technician | 2016 S Washington St., Grand Forks, ND 58201 | 2017-08-04 |
| 1225579840 | Kathleen Suzanne Tillman | Psychologist | 2100 S Columbia Road, Suite 202, Family Institute, PC, Grand Forks, ND 58201 | 2017-03-15 |
| 1881148906 | Melissa Pytlik Monson | Physician Assistant | 1380 S Columbia Rd - Altru Family Medcine Center, Grand Forks, ND 58201 | 2016-08-05 |
| 1477936029 | Laura Jane Carlson | Nurse Practitioner | 3165 Demers Avenue - Truyu Aesthetic Center, Grand Forks, ND 58201 | 2015-07-01 |
| Find all providers in zip 58201 | ||||
| Taxonomy Code | 261QF0050X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Family Planning, Non-Surgical |
| An entity, facility, or distinct part of a facility, or mobile unit providing non-surgical, family planning/reproductive services including physical examination, laboratory services such as PAP or pregnancy tests; pregnancy, pregnancy prevention/contraceptive, and nutritional counseling, and contraceptives or prescriptions for contraceptives. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427124247 | Richland County | Clinic/Center | 413 3rd Avenue North, Wahpeton, ND 58075 | 2006-11-24 |
| 1447335245 | City of Fargo | Clinic/Center | 1240 25th St S, Fargo, ND 58103-2367 | 2006-10-27 |
| City | GRAND FORKS |
| Zip Code | 58201 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.