National Provider Identifier Database

VILLAGE FAMILY SERVICE CENTER
Substance Abuse Disorder Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.


Contact Information

VILLAGE FAMILY SERVICE CENTER
2701 12TH AVE S
FARGO, ND58103-8753
Phone: 701-293-3384
Fax: 701-293-3384
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X
Addiction (Substance Use Disorder) 101YA0400X
Substance Abuse Treatment, Children 3245S0500X

* Indicates primary specialty

NPI Profile & details for VILLAGE FAMILY SERVICE CENTER

NPI Number 1952679318
Legal business name
LBN
VILLAGE FAMILY SERVICE CENTER
Authorized official AMBROSIA BURKE - (INSURANCE SPECIALIST)
Entity Organization
Organization subpart Yes
Enumeration date 12/13/2011
Last updated 02/26/2026 - About 3 months ago
Sole proprietor1 Not specified
Identifiers
  • ND License #: 1142
  • ND Medicaid: 1474033
  • MN Other: 8441481 BCBSMN
  • MN Other: 3Z71FI UBH

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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