| Church Of God's Word | |
|
227 Main Ave W West Fargo ND 58078-1725 | |
| (701) 639-6240 | |
| Not Available |
| Full Name | Church Of God's Word |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 227 Main Ave W, West Fargo, North Dakota |
| Authorized Official Name and Position | Carla Emma Buchholz (PASTOR) |
| Authorized Official Contact | 7014123972 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Church Of God's Word 227 Main Ave W West Fargo ND 58078-1725 Ph: (701) 639-6240 | Church Of God's Word 227 Main Ave W West Fargo ND 58078-1725 Ph: (701) 639-6240 |
| NPI Number | 1275233090 |
|---|---|
| Provider Enumeration Date | 03/09/2023 |
| Last Update Date | 03/09/2023 |
| Certification Date | 03/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275233090 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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