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Contact Information

CHI HEALTH CONNECT AT HOME-FARGO
986 2ND AVENUE WEST
DICKINSON, ND58601-3916
 Phone: 701-456-4378
 Fax: 701-456-4809
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
Indicates primary specialty

NPI Profile & details for CHI HEALTH CONNECT AT HOME-FARGO

NPI Number 1487969952
LBN Legal business name CHI HEALTH CONNECT AT HOME-FARGO
Authorized official NICOLE PEYERL - (DIRECTOR OPERATIONS/AUTH OFFICIAL)
Entity Organization
Organization subpart 1 Yes
Enumeration date 08/09/2010
Last updated 01/22/2024 - About 2 years ago
Identifiers
ND License # 4035
ND Medicaid 4035
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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