| Essentia Health 52nd Avenue Clinic | |
|
4110 51st Ave S Fargo ND 58104-7776 | |
| (701) 364-3100 | |
| (701) 364-3160 |
| Full Name | Essentia Health 52nd Avenue Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 4110 51st Ave S, Fargo, North Dakota |
| Authorized Official Name and Position | Alan J Hurley (COO) |
| Authorized Official Contact | 7013647667 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Essentia Health 52nd Avenue Clinic Po Box 1450 Nw7813 Minneapolis MN 55485-7813 Ph: (701) 364-3100 | Essentia Health 52nd Avenue Clinic 4110 51st Ave S Fargo ND 58104-7776 Ph: (701) 364-3100 |
| NPI Number | 1780043257 |
|---|---|
| Provider Enumeration Date | 02/12/2016 |
| Last Update Date | 03/01/2024 |
| Medicare PECOS PAC ID | 9931298155 |
|---|---|
| Medicare Enrollment ID | O20230518003065 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780043257 | NPI | - | NPPES |
| Provider Name | Julie A Arnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386820090 PECOS PAC ID: 0941389811 Enrollment ID: I20080502000487 |
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