Active NPI
The Village Family Service Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Moorhead, MN
National Provider Identifier
1265963250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- THE VILLAGE FAMILY SERVICE CENTER
- Practice address
- 1401 8TH St S
Moorhead, MN 56560-3605 - Phone
- (701) 451-4855
- NPI assigned
- Mar 22, 2017
- Last updated
- Nov 9, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Douglas Vang
- Title
- President/Ceo
- Phone
- (701) 451-4900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | NU | Primary |
Addresses
Primary practice location
1401 8TH St S
Moorhead, MN 56560-3605
Mailing address
1201 25TH St S
PO Box 9859
Fargo, ND 58103-2311
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 454484600 | Medicaid | MN | |
| 596357500 | Medicaid | MN |
National Provider Directory
National Provider Directory- Tax ID family
- Village Family Service Center
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Minot, ND
- NPI 1588694392
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fargo, ND
- NPI 1548430614
-
dba The Village Family Service Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fargo, ND
- NPI 1568492353
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490140800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1510185600000",
"number": "1265963250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 25TH ST S",
"address_2": "PO BOX 9859",
"city": "FARGO",
"state": "ND",
"postal_code": "581032311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 8TH ST S",
"city": "MOORHEAD",
"state": "MN",
"postal_code": "565603605",
"telephone_number": "701-451-4855"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE VILLAGE FAMILY SERVICE CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-22",
"last_updated": "2017-11-09",
"status": "A",
"authorized_official_last_name": "VANG",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "701-451-4900"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "454484600",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "596357500",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Moorhead, MN
- Bonnie Linda Teske, COTA
- The Family Link of Moorhead LLC
- The Lotus Center, Inc.
- The Lotus Center, Inc. (Recovery Engaged Communities)
- The Lotus Center, Inc.
- Therapy Services With Shelley, PLLC
- Thomas N Lorentzsen & Stanton L Andrist PTR (Moorhead Vision Associates)
- Lindsey Marie Thompson
- Olivia Thompson
- Christina Thorsgaard, LMFT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.