| Essentia Health West Acres Clinic | |
|
3902 13th Ave S Ste 3704 Fargo ND 58103-7512 | |
| (701) 364-6600 | |
| (701) 364-6628 |
| Full Name | Essentia Health West Acres Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 3902 13th Ave S Ste 3704, Fargo, North Dakota |
| Authorized Official Name and Position | Alan J Hurley (COO) |
| Authorized Official Contact | 7013647667 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Essentia Health West Acres Clinic Po Box 1450 Nw7813 Minneapolis MN 55485-7813 Ph: (701) 364-3300 | Essentia Health West Acres Clinic 3902 13th Ave S Ste 3704 Fargo ND 58103-7512 Ph: (701) 364-6600 |
| NPI Number | 1437495264 |
|---|---|
| Provider Enumeration Date | 12/26/2012 |
| Last Update Date | 03/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437495264 | NPI | - | NPPES |
| 14510 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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