NPIMap

Organization Active NPI

Red River Valley Health Care PC

Doing business as HIA House Calls

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Fargo, ND
National Provider Identifier
1053870253
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
Legal business name
RED RIVER VALLEY HEALTH CARE PC
Doing business as
HIA House Calls
HIA Palliative
HIA Primary Care
Practice address
3800 56TH Ave S
Fargo, ND 58104-6706
Phone
(701) 356-1500
Fax
(701) 356-1596
NPI assigned
Mar 18, 2019
Last updated
Apr 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Theresa Stahl
Title
Director of Finance
Phone
(701) 356-1507

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207QH0002X Primary

Addresses

Primary practice location

3800 56TH Ave S
Fargo, ND 58104-6706

Mailing address

3800 56TH Ave S
Fargo, ND 58104-6706
Phone (701) 356-1500

Other practice location 1

1111 Highway 10 E
Detroit Lakes, MN 56501-4215
Phone (701) 356-1560

Other names 3

  • HIA House Calls Doing business as
  • HIA Palliative Doing business as
  • HIA Primary Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, ND2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20191209001242 MN Part B Supplier - Clinic/Group Practice 8022340637 Receives reassigned benefits from 12 practitioners
Practice locations: Detroit Lakes, MN
O20200211001659 ND Part B Supplier - Clinic/Group Practice 8022340637 Receives reassigned benefits from 13 practitioners
Practice locations: Fargo, ND

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
35D2170360Red River Valley Health Care, PC3800 56TH Ave S, Fargo, ND 58104Certificate of waiverAug 7, 2027

National Provider Directory

National Provider Directory

Locations

3800 56th Ave S
Fargo, ND 58104
Phone (701) 356-1500

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776902400000",
    "number": "1053870253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 56TH AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581046706",
            "telephone_number": "701-356-1500",
            "fax_number": "701-356-1596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 56TH AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581046706",
            "telephone_number": "701-356-1500",
            "fax_number": "701-356-1596"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 Highway 10 E",
            "address_purpose": "LOCATION",
            "city": "Detroit Lakes",
            "state": "MN",
            "postal_code": "565014215",
            "country_code": "US",
            "telephone_number": "701-356-1560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RED RIVER VALLEY HEALTH CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-18",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A",
        "authorized_official_last_name": "STAHL",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "701-356-1507"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HIA House Calls",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HIA Palliative",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HIA Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.