Cobalt Rehabilitation Hospital Fargo LLC

Primary specialty

Rehabilitation HospitalTaxonomy code 283X00000X

Legal business name

COBALT REHABILITATION HOSPITAL FARGO LLC

Practice address

4671 38TH Street S
Fargo, ND 58104

Phone

(972) 330-5870

NPI assigned

Jun 12, 2017

Organization subpart

No

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

Authorized official

Name

Eric Hendrickson

Title

Reimbursement Director

Phone

(972) 414-6064

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1497225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591056000000",
    "number": "1619406733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 BEEBALM LN STE 220",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750402955",
            "telephone_number": "972-414-6064",
            "fax_number": "972-414-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4671 38TH STREET S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "58104",
            "telephone_number": "972-330-5870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COBALT REHABILITATION HOSPITAL FARGO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-12",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A",
        "authorized_official_last_name": "HENDRICKSON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "REIMBURSEMENT DIRECTOR",
        "authorized_official_telephone_number": "972-414-6064"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cloud Care LLC
• David J Clutter, MD
• Michael Lawrenz Ferreras Co, M.D.
• Lexie Coalwell
• Jordan Heather Coauette, M.D
• Cesar Cobarruvias, DO
• Mariaha Jane Cobb, M.D.
• Travis Cochran, PT
• Charlene Louise Cody, LSW
• Roger Kent Coffey, D.D.S.

• Rehabilitation Hospital in Fargo, ND
• Providers in Fargo, ND by specialty
• Rehabilitation Hospital in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.