| Catholic Charities North Dakota | |
|
5201 Bishops Blvd S Ste B Fargo ND 58104-7605 | |
| (701) 356-7993 | |
| (701) 866-3015 |
| Full Name | Catholic Charities North Dakota |
|---|---|
| Speciality | Voluntary Or Charitable |
| Location | 5201 Bishops Blvd S Ste B, Fargo, North Dakota |
| Authorized Official Name and Position | Delrae Amann (CREDENTIALING REPRESENTATIVE) |
| Authorized Official Contact | 7013716166 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Catholic Charities North Dakota 5201 Bishops Blvd S Ste B Fargo ND 58104-7605 Ph: (701) 356-7993 | Catholic Charities North Dakota 5201 Bishops Blvd S Ste B Fargo ND 58104-7605 Ph: (701) 356-7993 |
| NPI Number | 1811614704 |
|---|---|
| Provider Enumeration Date | 10/21/2022 |
| Last Update Date | 10/21/2022 |
| Certification Date | 10/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811614704 | NPI | - | NPPES |
| 58504 | Other | ND | LOCATION ZIP CODE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 251V00000X | Voluntary Or Charitable | (* (Not Available)) | Primary |
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