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CHI HEALTH CONNECT AT HOME-FARGO

Hospice Care, Community Based

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Contact Information

CHI HEALTH CONNECT AT HOME-FARGO
1110 HIGHWAY 75 NORTH
SUITE A
BRECKENRIDGE, MN  56520-1117
 Phone: 218-643-2275
 Fax: 218-643-2274
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Hospice Care, Community Based

 251G00000X B4[14] Hospice
Indicates primary specialty

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

NPI Number 1821303397
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 11/21/2025 - About 6 months ago
Identifiers
MN License # 346249
MN Medicaid 376289
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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