FARGO VAMC – NPI #1578514154
Clinic/Center

FARGO VAMC is an AHC clinic located in BISMARCK, ND. NPPES has assigned the NPI number 1578514154 to FARGO VAMC on May 16, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. FARGO VAMC is also known by the name BISMARCK VA CBOC. The primary taxonomy selected by this provider is 261QV0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in VA

The NPI profile was previously updated about 9 years ago on Nov 30, 2017. 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 FARGO VAMC below.

NPI Profile for
FARGO VAMC

NPI Number
1578514154
Enumeration Date

(more than 20 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
FARGO VAMC
Other Name: BISMARCK VA CBOC
Primary location
2700 STATE ST
GATEWAY MALL
BISMARCK, ND 58503-0669
Phone: (913) 578-4409 Fax:
Mailing address
PO BOX 94452
CLEVELAND, OH 44101-4452
Phone: (913) 578-4409 Fax:
Organization Subpart
No
Authorized Official
ERIN POTTER
NPI TEAM MEMBER
Phone: (202) 382-2579
Updated
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
261QV0200X
- Clinic/Center / VA (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.