GOETZ MENTAL WELLNESS INITIATIVE – NPI #1316569767
Clinic/Center

GOETZ MENTAL WELLNESS INITIATIVE is an AHC clinic located in FARGO, ND. NPPES has assigned the NPI number 1316569767 to GOETZ MENTAL WELLNESS INITIATIVE on May 08, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM0801X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Mental Health (Including Community Mental Health 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 GOETZ MENTAL WELLNESS INITIATIVE below.

NPI Profile for
GOETZ MENTAL WELLNESS INITIATIVE

NPI Number
1316569767
Enumeration Date

(more than 6 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
GOETZ MENTAL WELLNESS INITIATIVE
Primary location
3911 20TH AVE S
FARGO, ND 58103-4705
Phone: (701) 271-1613 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ERIC MONSON
INTERIM CEO
Phone: (701) 235-7341
Updated
Certification Date
May 08, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
261QM0801X
- Clinic/Center / Mental Health (Including Community Mental Health Center) (Primary)

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.