NPIMap

Organization Active NPI

City of Fargo

Doing business as Fargo Cass Public Health

  • Non-Surgical Family Planning Clinic/Center
  • Fargo, ND
National Provider Identifier
1447335245
Registry record updated Oct 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Surgical Family Planning Clinic/CenterTaxonomy code 261QF0050X
Legal business name
CITY OF FARGO
Doing business as
Fargo Cass Public Health
Practice address
1240 25TH St S
Fargo, ND 58103-2367
Phone
(701) 241-1360
Fax
(701) 241-8559
NPI assigned
Oct 27, 2006
Last updated
Oct 2, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2015

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

Authorized official

Name
Melissa Perala
Title
Accountant
Phone
(701) 241-1392

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Surgical Family Planning Clinic/Center 261QF0050X NU Primary

Addresses

Primary practice location

1240 25TH St S
Fargo, ND 58103-2367

Mailing address

1240 25TH St S
Fargo, ND 58103-2367
Phone (701) 241-1360

Other identifiers 2

IdentifierTypeStateIssuer
54843MedicaidND
N71095OtherNDMEDICARE PTAN

Other names 1

  • Fargo Cass Public Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040602001175 ND Part B Supplier - Clinic/Group Practice 3173505328 Receives reassigned benefits from 2 practitioners
Practice locations: Fargo, ND

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

  • City of Fargo

    dba Fargo Cass Public Health

    • State or Local Public Health Clinic/Center
    • Fargo, ND
    • NPI 1891879839

    3173505328

    Same PAC ID

National Provider Directory

National Provider Directory
Tax ID family
Fargo Home Health5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

1240 25th St S
Fargo, ND 58103
Phone (701) 241-1360

Practitioners & affiliated clinicians

Practitioners 42

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 42

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443744000000",
    "number": "1447335245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 25TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581032367",
            "telephone_number": "701-241-1360",
            "fax_number": "701-241-8559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 25TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581032367",
            "telephone_number": "701-241-1360",
            "fax_number": "701-241-8559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF FARGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2015-10-02",
        "status": "A",
        "authorized_official_last_name": "PERALA",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "ACCOUNTANT",
        "authorized_official_telephone_number": "701-241-1392"
    },
    "taxonomies": [
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54843",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "N71095",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fargo Cass Public Health",
            "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 Oct 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.