| Fraser, Ltd | |
|
1621 34th St S Fargo ND 58103-8413 | |
| (701) 232-3301 | |
| Not Available |
| Full Name | Fraser, Ltd |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1621 34th St S, Fargo, North Dakota |
| Authorized Official Name and Position | Amanda Barton (DIRECTOR OF ACCOUNTING) |
| Authorized Official Contact | 7012323301 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fraser, Ltd 2902 University Dr S Fargo ND 58103-6032 Ph: () - | Fraser, Ltd 1621 34th St S Fargo ND 58103-8413 Ph: (701) 232-3301 |
| NPI Number | 1568061505 |
|---|---|
| Provider Enumeration Date | 10/21/2020 |
| Last Update Date | 10/21/2020 |
| Certification Date | 10/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568061505 | NPI | - | NPPES |
| 1455842 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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