STELLAR HEALTHCARE LTD NPI 1760781033

NPI Information

NPI: 1760781033
Provider Name: STELLAR HEALTHCARE, LTD
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 35D2022940

Address:
3274 51ST ST S
FARGO, ND
ZIP 58104
Phone: (701) 364-3660
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STELLAR HEALTHCARE, LTD is a primary care clinic center in Fargo, ND. STELLAR HEALTHCARE, LTD NPI is 1760781033. The provider is registered as an organization entity type.

The provider's business location address is:

3274 51ST ST S
FARGO, ND
ZIP 58104-179
Phone: (701) 364-3660
Fax: (701) 364-3661

The provider's authorized official is Melissa R Erdmann .
The authorized official title is Nurse Practitioner and has the following contact phone number (701) 364-3660.

The CLIA number assigned to this NPI record is 35D2022940 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/25/2011 and was last updated on 5/11/2021.

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	261QP2300X	Clinic/Center	Primary Care			Yes

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: 5/5/2024

NPI Synchronization or Removal

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