Fraser, LTD.
Organization Active NPI Community/Behavioral Health Agency · Fargo, ND
NPI 1013285337 · NPPES record last updated Oct 19, 2020
Key facts
- NPI
- 1013285337
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- FRASER, LTD.
- Practice address
- 2902 University Dr S
Fargo, ND 58103-6053 - Phone
- (701) 232-3301
- Fax
- (701) 237-5775
- NPI assigned
- Dec 1, 2011
- Organization subpart
- No
Authorized official
- Name
- Amy Ann Hepper
- Title
- Director of Business Operations
- Phone
- (701) 232-3301
Corporate family (same tax ID) 12
Practitioners 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160126001396 | ND | Part B Supplier - Clinic/Group Practice | 0547563553 |
Receives reassigned benefits from 2 practitioners Practice locations: Fargo, ND |
National Provider Directory
- Tax ID family
- Fraser LTD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
2902 University Dr S
Fargo, ND 58103-6053
Mailing address
2902 University Dr S
Fargo, ND 58103-6053
Phone (701) 232-3301
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770756041 | Medicaid | ND | |
| 1932313889 | Medicaid | ND | |
| 1730353574 | Medicaid | ND | |
| 1124292958 | Medicaid | ND |
Other providers in Fargo, ND
- Fraser, LTD
- Fraser, LTD
- Fraser, LTD
- Fraser, LTD
- Fraser, LTD
- Fraser, LTD.
- Jodi Freden
- Brea Christine Frederick
- Nicholas Henry Frederiksen
- Kirsten Fredrick
All providers in Fargo, ND · Community/Behavioral Health Agency in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.