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Contact Information

LIGHTHOUSE CHURCH OF FARGO
111 9TH ST S
FARGO, ND58103-1831
 Phone: 701-212-8626
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Manager/Care Coordinator

171M00000X
 

Community/Behavioral Health

251S00000X
 

Private Vehicle

347C00000X
Indicates primary specialty

NPI Profile & details for LIGHTHOUSE CHURCH OF FARGO

NPI Number 1316531817
LBN Legal business name LIGHTHOUSE CHURCH OF FARGO
Authorized official MELINDA SCHNASE - (ADMINISTRATIVE ASSISTANT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/24/2021
Last updated 02/24/2021 - About 5 years ago
Identifiers
ND Medicaid 251B00000X
ND Medicaid 251S00000X
ND Medicaid 347C00000X
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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