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Contact Information

SOUTHEAST HUMAN SERVICE CENTER
2624 9TH AVE S
FARGO, ND58103-2350
 Phone: 701-298-4500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Developmental Disabilities

261QD1600X
Indicates primary specialty

NPI Profile & details for SOUTHEAST HUMAN SERVICE CENTER

NPI # 1245284850
LBN Legal business name SOUTHEAST HUMAN SERVICE CENTER
Authorized official DONNA AUKLAND - (ASSISTANT CFO - DHS)
Entity Organization
Organization subpart 1 No
Enumeration date 05/19/2006
Last updated 12/10/2020 - About 5 years ago
Identifiers
ND Medicaid 032318
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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