NORTH DAKOTA STATE UNIVERSITY NPI 1427152115

NPI Information

  • NPI: 1427152115
  • Provider Name: NORTH DAKOTA STATE UNIVERSITY
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 1707 CENTENNIAL BOULEVARD
    FARGO, ND
    ZIP 58102
  • Phone: (701) 231-7331

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NPI Details

NORTH DAKOTA STATE UNIVERSITY is a clinic center in 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). NORTH DAKOTA STATE UNIVERSITY NPI is 1427152115. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1707 CENTENNIAL BOULEVARD
FARGO, ND
ZIP 58102
Phone: (701) 231-7331
Fax: (701) 231-6132

The provider's authorized official is Teri Lynn Shepherd .
The authorized official title is Insurance Coordinator and has the following contact phone number (701) 231-5239.

The enumeration date for this NPI number is 9/12/2006 and was last updated on 10/23/2018.

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
1183500000XPharmacist168NORTH DAKOTANo
2291U00000XClinical Medical Laboratory95503681NORTH DAKOTANo
3261Q00000XClinic/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
113139MEDICAIDNORTH DAKOTA

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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