Valley Bariatric & Wellness Clinic

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

8491 Issued in ND

Legal business name

VALLEY BARIATRIC & WELLNESS CLINIC

Practice address

1707 Gold Dr S
Suite 101
Fargo, ND 58103-6413

Phone

(701) 365-8446

Fax

(701) 365-0808

NPI assigned

Apr 16, 2008

Organization subpart

No

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

Authorized official

Name

Brent M Hella, MD

Title

Medical Director

Phone

(701) 365-8446

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208304000000",
    "number": "1841464286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 GOLD DR S",
            "address_2": "SUITE 101",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581036413",
            "telephone_number": "701-365-8446",
            "fax_number": "701-365-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 GOLD DR S",
            "address_2": "SUITE 101",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581036413",
            "telephone_number": "701-365-8446",
            "fax_number": "701-365-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY BARIATRIC & WELLNESS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-16",
        "last_updated": "2008-04-16",
        "status": "A",
        "authorized_official_last_name": "HELLA",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "701-365-8446",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "ND",
            "license": "8491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel J Vaagen, PA-C
• Tracy Lynn Vacca, PA-C
• Ashanti Valdez
• Francesco Valente
• Valley Anesthesia Associates PC
• Valley Christian Counseling Center Inc
• Valley Dental Center, PC
• Valley Dermatology Clinic PC
• Valley Homes LLC
• Valley Laser Eye Center L.L.C.

• Health Service Clinic/Center in Fargo, ND
• Providers in Fargo, ND by specialty
• Health Service Clinic/Center in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; 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.