MINNESOTA STATE UNIVERSITY-MOORHEAD – NPI #1306384649
Clinic/Center

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).

Health Care Provider Taxonomy Code for Clinic/Center

MINNESOTA STATE UNIVERSITY-MOORHEAD is an AHC clinic located in MOORHEAD, MN. NPPES has assigned the NPI number 1306384649 to MINNESOTA STATE UNIVERSITY-MOORHEAD on February 07, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MINNESOTA STATE UNIVERSITY-MOORHEAD below.

NPI Profile for
MINNESOTA STATE UNIVERSITY-MOORHEAD

NPI Number
1306384649
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MINNESOTA STATE UNIVERSITY-MOORHEAD
Primary location
1104 7TH AVE S
MOORHEAD, MN 56563-0001
Phone: (218) 477-2385 Fax:
Mailing address
Same as primary location
Organization Subpart
Yes - MINNESOTA STATE UNIVERSITY-MOORHEAD is subpart of another organization.
Authorized Official
MICHELLE IVERSON
SPEECH LANGUAGE PATHOLOGIST
Phone: (218) 477-2385
Updated
Identifiers

Identifiers for MINNESOTA STATE UNIVERSITY-MOORHEAD

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERMDE LICENSEMN5512
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)		 MN 5512

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.