NPIMap

Organization Active NPI

City of Fargo

Doing business as Fargo Cass Public Health

  • State or Local Public Health Clinic/Center
  • Fargo, ND
National Provider Identifier
1891879839
Registry record updated Sep 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
Legal business name
CITY OF FARGO
Doing business as
Fargo Cass Public Health
Practice address
1240 25TH St S
Fargo, ND 58103
Phone
(701) 241-1360
Fax
(701) 241-1366
NPI assigned
Oct 25, 2006
Last updated
Sep 22, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 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
State or Local Public Health Clinic/Center 261QP0905X NU Primary

Addresses

Primary practice location

1240 25TH St S
Fargo, ND 58103

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
38973MedicaidND
53579MedicaidND

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
O20041006000701 ND Part B Supplier - Public Health/Welfare Agency 3173505328 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

    • Non-Surgical Family Planning Clinic/Center
    • Fargo, ND
    • NPI 1447335245

    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.

Practitioners & affiliated clinicians

Practitioners 44

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 44

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442880000000",
    "number": "1891879839",
    "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": "701-241-1366"
        },
        {
            "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": "58103",
            "telephone_number": "701-241-1360",
            "fax_number": "701-241-1366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF FARGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2015-09-22",
        "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": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38973",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "53579",
            "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 Sep 22, 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.