HOMEFIELD HEALTH – NPI #1790210318
Clinic/Center

HOMEFIELD HEALTH is an AHC clinic located in FARGO, ND. NPPES has assigned the NPI number 1790210318 to HOMEFIELD HEALTH on April 21, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “HOMEFIELD HEALTH” is a dba name, the actual legal business name for this organization is HOMEFIELD HEALTH, LLC. The primary taxonomy selected by this provider is 261QM1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Multi-Specialty

The NPI profile was previously updated about 7 years ago on Dec 12, 2018. 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 HOMEFIELD HEALTH below.

NPI Profile for
HOMEFIELD HEALTH, LLC

NPI Number
1790210318
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
HOMEFIELD HEALTH, LLC
Doing Business As (dba): HOMEFIELD HEALTH
Primary location
4141 31ST AVE S.
STE 102
FARGO, ND 58104
Phone: (701) 356-0097 Fax: (701) 356-0061
Mailing address
4141 31ST AVE S STE 102
FARGO, ND 58104-8778
Phone: (701) 361-3838 Fax: (701) 540-0481
Organization Subpart
No
Authorized Official
MELISSA KNECHT-SAVEY
OWNER/PRESIDENT
Phone: (701) 356-0097
Updated
Identifiers

Identifiers for HOMEFIELD HEALTH

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
MEDICAIDND84223
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
261QM1300X
- Clinic/Center / Multi-Specialty (Primary)
ND R32949

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.