PSJ ACQUISITION LLC NPI 1679709802

NPI Information

NPI: 1679709802
Provider Name: PSJ ACQUISITION LLC
Classification: Psychiatric Hospital - 283Q00000X
Entity Type: Organization

CLIA Number: 35D0951705

Address:
510 4TH ST S
FARGO, ND
ZIP 58103
Phone: (701) 476-7200
Get Directions

PSJ ACQUISITION LLC is a psychiatric hospital in Fargo, ND. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. PSJ ACQUISITION LLC NPI is 1679709802. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

510 4TH ST S
FARGO, ND
ZIP 58103
Phone: (701) 476-7200
Fax: (701) 280-5789

The provider's authorized official is Steve Filton .
The authorized official title is Srvp Cfo and has the following contact phone number (610) 678-3300.

The CLIA number assigned to this NPI record is 35D0951705 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/2/2009 and was last updated on 8/18/2016.

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
1	2084P0800X	Psychiatry & Neurology	Psychiatry			No
2	283Q00000X	Psychiatric Hospital				Yes

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
1	N714530	MEDICARE PIN	NORTH DAKOTA
2	354004	MEDICARE OSCAR/CERTIFICATION	NORTH DAKOTA
3	11051	MEDICAID	NORTH DAKOTA
4	99725100	MEDICAID	MINNESOTA

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: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »