| Homefield Health | |
|
4141 31st Ave S. Ste 102 Fargo ND 58104 | |
| (701) 356-0097 | |
| (701) 356-0061 |
| Full Name | Homefield Health |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 4141 31st Ave S., Fargo, North Dakota |
| Authorized Official Name and Position | Melissa Ann Knecht-savey (OWNER/PRESIDENT) |
| Authorized Official Contact | 7013560097 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Homefield Health 4141 31st Ave S Ste 102 Fargo ND 58104-8778 Ph: (701) 361-3838 | Homefield Health 4141 31st Ave S. Ste 102 Fargo ND 58104 Ph: (701) 356-0097 |
| NPI Number | 1790210318 |
|---|---|
| Provider Enumeration Date | 04/21/2017 |
| Last Update Date | 12/12/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790210318 | NPI | - | NPPES |
| 84223 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | R32949 (North Dakota) | Primary |
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