THE VILLAGE FAMILY SERVICE CENTER (NPI# 1265963250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265963250 |
| Entity Type | Organization |
| Organization Name | THE VILLAGE FAMILY SERVICE CENTER |
| Practice Address |
1401 8th St S Moorhead MN 56560-3605 |
| Mailing Address |
1201 25th St S Po Box 9859 Fargo ND 58103-2311 |
| Practice Telephone | 7014514855 |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2017-11-09 |
| Authorized Official Name | DOUGLAS VANG (PRESIDENT/CEO) |
| Authorized Official Telephone | 7014514900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 454484600 | 05 | |
| MN | 596357500 | 05 |
| Street Address |
1401 8TH ST S |
| City | MOORHEAD |
| State | MN |
| Zip Code | 56560-3605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811094014 | Skatvold Family Dentistry P.C. | Dentist | 1401 8th St S, Moorhead, MN 56560-3605 | 2006-09-20 |
| 1043709421 | Kalene Sharstrom | Marriage & Family Therapist | 1401 8th St S, Moorhead, MN 56560-3605 | 2018-05-01 |
| 1740712231 | Elizabeth Frye | Marriage & Family Therapist | 1401 8th St S, Moorhead, MN 56560-3605 | 2017-04-03 |
| 1518404649 | Brooke Hammond | Counselor | 1401 8th St S, Moorhead, MN 56560-3606 | 2017-01-26 |
| 1831559038 | Christina Smestad | Marriage & Family Therapist | 1401 8th St S, Moorhead, MN 56560-3605 | 2016-03-01 |
| 1982081188 | Amanda Lindstrom | Social Worker | 1401 8th St S, Moorhead, MN 56560-3605 | 2015-04-27 |
| 1285047738 | Kathryn Davis Tidd | Social Worker | 1401 8th St S, Moorhead, MN 56560-3606 | 2014-06-03 |
| 1952446122 | Shelley Guida | Counselor | 1401 8th St S, Moorhead, MN 56560-3605 | 2007-02-21 |
| 1154429272 | Erik Pahl Skatvold | Dentist | 1401 8th St S, Moorhead, MN 56560-3605 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386298859 | Anna Mckay Fox | Pharmacist | 4000 28th Avenue S, Moorhead, MN 56560 | 2019-08-01 |
| 1972019727 | Michael Wayne Hilliard | Specialist/Technologist | 649 17th St S, Moorhead, MN 56560 | 2017-12-15 |
| 1508217183 | Kristen Johnson | Nurse Practitioner | 801 Belsly Boulevard, Moorhead, MN 56560 | 2016-06-25 |
| 1861877052 | Midwest Mental Health Clinic | Nurse Practitioner | 819 30th Ave S Office 206 Suite B, Moorhead, MN 56560 | 2015-07-29 |
| 1083037709 | Drake Counseling Services, Inc. | Clinic/Center | 715 11th Street North, Suite 204, Moorhead, MN 56560 | 2014-01-31 |
| 1710310917 | Lamar Terrell Hill | Social Worker | 420 Center Ave Ste 102, Moorhead, MN 56560 | 2013-08-12 |
| 1982956140 | Lilac Homes Corporation | Assisted Living Facility | 2615 Parkview Dr, Moorhead, MN 56560 | 2012-10-11 |
| 1487918462 | Paige Joy Hanson | Massage Therapist | 805 14th St. So., Msum Wellness Center, Moorhead, MN 56560 | 2012-06-25 |
| 1972809408 | Cslm, LLC | Assisted Living Facility | 2401 South 11th Street, Moorhead, MN 56560 | 2011-02-01 |
| 1972814846 | Paul Michael Fluto | Pharmacist | 3000 Hwy 10 East, Mooehead, MN 56560 | 2010-06-25 |
| Find all providers in zip 56560 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437781515 | Autonomy Counseling, Pllc | Clinic/Center | 510 Center Ave Ste 2, Moorhead, MN 56560-1922 | 2020-02-06 |
| 1598395717 | Northwest Solution Services LLC | Clinic/Center | 819 30th Ave S, Moorhead, MN 56560-5000 | 2020-01-16 |
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| 1740880764 | East Metro Trauma and Recovery LLC | Clinic/Center | 4116 Hoffman Rd, White Bear Lake, MN 55110-3708 | 2020-10-28 |
| 1851991160 | Gratia Counseling & Consulting, LLC | Clinic/Center | 2705 Bunker Lake Blvd Nw Ste 103, Andover, MN 55304-3786 | 2020-10-27 |
| 1508465147 | Piece of Mind Counseling Services, Pllc | Clinic/Center | 1122 Bemidji Ave N, Bemidji, MN 56601-2833 | 2020-10-24 |
| 1205433984 | Hopebridge Life Skills Center | Clinic/Center | 3617 E Lake St, Minneapolis, MN 55406-2148 | 2020-10-05 |
| 1275149007 | Clarity Counseling Services Pllc | Clinic/Center | 521 W Highway 2, Cohasset, MN 55721-2300 | 2020-09-17 |
| 1720693146 | Serene Therapy and Counseling Services LLC | Clinic/Center | 777 Berry St Apt 400b, Saint Paul, MN 55114-4006 | 2020-09-11 |
| 1427662592 | Threesixty, LLC | Clinic/Center | 4960 Miller Trunk Hwy # 600-b, Hermantown, MN 55811-1891 | 2020-09-04 |
| 1124639190 | Woodhaven Wellness | Clinic/Center | 3000 Carriage Dr, Hamel, MN 55340-9597 | 2020-08-13 |
| 1245840735 | Kalina Counseling Services | Clinic/Center | 120 7th St Unit 101, Two Harbors, MN 55616-1563 | 2020-08-09 |
| Find all providers with the same taxonomy | ||||
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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.