| Lutheran Social Services Of Nd | |
|
3911 20th Ave S Fargo ND 58107 | |
| (701) 235-7341 | |
| (701) 271-3270 |
| Full Name | Lutheran Social Services Of Nd |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3911 20th Ave S, Fargo, North Dakota |
| Authorized Official Name and Position | Jessica Thomasson (CEO) |
| Authorized Official Contact | 7012357341 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lutheran Social Services Of Nd Po Box 389 Fargo ND 58107-0389 Ph: (701) 235-7341 | Lutheran Social Services Of Nd 3911 20th Ave S Fargo ND 58107 Ph: (701) 235-7341 |
| NPI Number | 1225459027 |
|---|---|
| Provider Enumeration Date | 12/20/2013 |
| Last Update Date | 04/21/2020 |
| Certification Date | 04/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225459027 | NPI | - | NPPES |
| 050955 | Medicaid | ND | |
| 54635 | Medicaid | ND | |
| 55350 | Medicaid | ND |
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