NPIMap

Organization Active NPI

Fraser, LTD.

  • Intellectual Disabilities Intermediate Care Facility
  • Fargo, ND
National Provider Identifier
1124292958
Registry record updated Oct 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
FRASER, LTD.
Practice address
2726 18TH St S
Fargo, ND 58103-6710
Phone
(701) 232-3301
Fax
(701) 237-5775
NPI assigned
Apr 14, 2008
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Amy Hepper
Title
Director of Business Operations
Phone
(701) 232-3301

Corporate family (same tax ID) 12

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Fraser LTD (13 organizations share this tax ID)

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X ND
Intellectual Disabilities Intermediate Care Facility 315P00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

2726 18TH St S
Fargo, ND 58103-6710

Mailing address

2902 University Dr S
Fargo, ND 58103-6053
Phone (701) 232-3301

Other identifiers 3

NPPES NPI Registry
IdentifierTypeStateIssuer
1770756041MedicaidND
1730353574MedicaidND
1932313889MedicaidND

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 19, 2020.

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603065600000",
    "number": "1124292958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2902 UNIVERSITY DR S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581036053",
            "telephone_number": "701-232-3301",
            "fax_number": "701-237-5775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2726 18TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581036710",
            "telephone_number": "701-232-3301",
            "fax_number": "701-237-5775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRASER, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-14",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A",
        "authorized_official_last_name": "HEPPER",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS OPERATIONS",
        "authorized_official_telephone_number": "701-232-3301"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "ND",
            "license": null,
            "primary": false
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1770756041",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1730353574",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1932313889",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Oct 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.