FARGO VAMC (NPI# 1407809478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407809478 |
| Entity Type | Organization |
| Organization Name | FARGO VAMC |
| Practice Address |
1821 N Park St Fergus Falls Va Outpatient Clinic Fergus Falls MN 56537-1247 |
| Mailing Address |
Po Box 94452 Cleveland OH 44101-4452 |
| Practice Telephone | 9135784409 |
| Mailing Telephone | 9135784409 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2018-02-06 |
| Authorized Official Name | ERIN DENISE POTTER (NPI TEAM MEMBER) |
| Authorized Official Telephone | 2023822579 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QV0200X |
Clinic/Center Specialization: VA |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194358739 | Fargo Vamc | Clinic/Center | 721 1st Ave N, Fargo, ND 58102-4903 | 2020-02-21 |
| 1851796072 | Fargo Vamc | Clinic/Center | 1031 7th Street Northeast, Devils Lake, ND 58301-5830 | 2014-10-30 |
| 1023426913 | Fargo Vamc | Clinic/Center | 766 Elks Dr Ste 6h, Dickinson, ND 58601-2915 | 2014-07-24 |
| 1346437944 | Fargo Vamc | Clinic/Center | 1217 Anne St Nw, Bemidji, MN 56601-5113 | 2007-09-27 |
| 1598952194 | Fargo Vamc | Clinic/Center | 1542 16th St W Ste 300, Williston, ND 58801-3888 | 2007-09-27 |
| 1528006574 | Fargo Vamc | Clinic/Center | 3400 S Broadway, Minot, ND 58701-7420 | 2006-06-03 |
| 1457306813 | Fargo Vamc | Clinic/Center | 1319 West 11th Street, Grafton, ND 58237-2138 | 2006-05-24 |
| 1578514154 | Fargo Vamc | Clinic/Center | 2700 State St, Gateway Mall, Bismarck, ND 58503-0669 | 2006-05-16 |
| 1225445463 | Fargo Vamc | Clinic/Center | 2430 20th St Sw, Suite 8, Jamestown, ND 58401-6201 | 2014-07-21 |
| 1811220742 | Fargo Vamc | Clinic/Center | 3221 32nd Ave S, Suite 700, Grand Forks, ND 58201-6071 | 2009-09-10 |
| Street Address |
1821 N PARK ST FERGUS FALLS VA OUTPATIENT CLINIC |
| City | FERGUS FALLS |
| State | MN |
| Zip Code | 56537-1247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609217900 | State of Minnesota - Minnesota Management and Budget | Skilled Nursing Facility | 1821 N Park St, Fergus Falls, MN 56537-1247 | 2013-07-15 |
| 1811917594 | Suzanne Kay Forsythe | Nurse Practitioner | 1821 N Park St, Fergus Falls, MN 56537-1247 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295334217 | Mary Jane Andersen | Pharmacist | 3300 Hwy 210 W, Fergus Falls, MN 56537 | 2020-10-21 |
| 1609475615 | Blaine Perry Ecker | Pharmacist | 3300 Highway 210 W., 3300 Highway 210 West, Fergus Falls, MN 56537 | 2020-10-21 |
| 1336771591 | Paul George Wawin | Psychiatry & Neurology | 712 Cascade St. S. Lake Region Healthcare, Fergus Falls, MN 56537 | 2020-02-06 |
| 1134604127 | Christopher Michael Kjolhaug | Physical Therapist | 1131 South Mabelle Ave, Fergus Falls, MN 56537 | 2018-09-26 |
| 1619406808 | Aaron John Teigen | Physical Therapist | 1304 Lincoln Ave W, Suite C, Fergus Falls, MN 56537 | 2017-06-09 |
| 1003272154 | Anthony Gettel Dc LLC | Chiropractor | 755 Wildwood Trail, Fergus Falls, MN 56537 | 2016-01-05 |
| 1447628912 | Kelsey Shea | Student in an Organized Health Care Education/Training Program | 20743 Red Oak Dr., Fergus Falls, MN 56537 | 2015-09-14 |
| 1881070217 | Vineet Ganapati | Dentist | 2001 W Lincoln Ave # 33, Fergus Falls, MN 56537 | 2015-08-07 |
| 1497004832 | Beverly Renae Reiff | Registered Nurse | 22279 River Oaks Drive, Fergus Falls, MN 56537 | 2012-08-30 |
| 1114221421 | Jane Mary Bjornson | Social Worker | 21081 County Hwy 1, Fergus Falls, MN 56537 | 2010-12-29 |
| Find all providers in zip 56537 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073094884 | Minneapolis Vamc | Clinic/Center | 720 E Miners Dr, Ely, MN 55731-1400 | 2018-08-29 |
| 1639615149 | Minneapolis Vamc | Clinic/Center | 1961 Premier Drive, Mankato, MN 56001-6492 | 2017-01-09 |
| 1609283845 | Minneapolis Vamc | Clinic/Center | 1201 Harmon Pl, Suite 103, Minneapolis, MN 55403-2043 | 2014-07-21 |
| 1932529351 | Minneapolis Vamc | Clinic/Center | 1111 Shakopee Town Sq, Shakopee, MN 55379-1908 | 2014-04-24 |
| 1912206228 | Minneapolis Vamc | Clinic/Center | 7545 Civic Center Dr Nw, Ramsey, MN 55303-5196 | 2011-03-25 |
| 1346437944 | Fargo Vamc | Clinic/Center | 1217 Anne St Nw, Bemidji, MN 56601-5113 | 2007-09-27 |
| 1518905074 | Minneapolis Vamc | Clinic/Center | 1212 Heckman Ct, Saint James, MN 56081-8702 | 2006-06-04 |
| 1790723716 | Minneapolis Vamc | Clinic/Center | 3551 Commercial Dr Sw Ste 400, Rochester, MN 55902-2884 | 2006-06-03 |
| 1659328292 | Minneapolis Vamc | Clinic/Center | 1725 Legacy Parkway, Suite 100, Maplewood, MN 55109-5432 | 2006-05-28 |
| 1902851348 | Minneapolis Vamc | Clinic/Center | 990 W 41st St, Suite 5, Hibbing, MN 55746-3045 | 2006-05-24 |
| Find all providers with the same taxonomy | ||||
| City | FERGUS FALLS |
| Zip Code | 56537 |
Please comment or provide details below to improve the information on FARGO VAMC.
| 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.