CLINIC FHSC PC NPI 1023286614

NPI Information

  • NPI: 1023286614
  • Provider Name: CLINIC FHSC PC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 1207 PRAIRIE PKWY
    WEST FARGO, ND
    ZIP 58078
  • Phone: (701) 492-0696

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NPI Details

CLINIC FHSC PC is a clinic center in West Fargo, ND. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). CLINIC FHSC PC NPI is 1023286614. The provider is registered as an organization entity type.

The provider's business location address is:

1207 PRAIRIE PKWY
WEST FARGO, ND
ZIP 58078-145
Phone: (701) 492-0696

The provider's authorized official is Ryan Jenkins .
The authorized official title is Owner and has the following contact phone number (701) 492-0696.

The enumeration date for this NPI number is 2/15/2008 and was last updated on 12/16/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
101B40THOTHERMINNESOTABLUE CROSS BLUE SHIELD MN
222991OTHERNORTH DAKOTABLUE CROSS BLUE SHIELD ND
31451977MEDICAIDNORTH DAKOTA
4DE5709OTHERNORTH DAKOTAMEDICARE RAILROAD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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