Orville S Mandan in Fargo - Addiction (substance Use Disorder)
Orville S Mandan - NPI 1710150099
Orville S Mandan is a Addiction (substance Use Disorder) in Fargo, North Dakota. Orville S Mandan practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Orville S Mandan is 1710150099. The last update date is 2008-04-08.
Orville S Mandan's current location address is 4227 9th Ave Sw, Fargo, North Dakota. You can contact this provider via phone number 7012826561 and fax number 7012770306. The mailing address for Orville S Mandan is 4227 9th Ave Sw, Fargo, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Orville S Mandan |
|---|---|
| Address | 4227 9th Ave Sw, Fargo, North Dakota |
| Phone Number | 7012826561 |
| Fax Number | 7012770306 |
| Sole Proprietor | N |
| Credentials | LAC |
NPI Number Detail
| NPI Number | 1710150099 |
|---|---|
| Provider Enumeration Date | 2008-04-08 |
| Last Updated Date | 2008-04-08 |
Provider Mailing Address Detail
| Address | 4227 9th Ave Sw |
|---|---|
| City | Fargo |
| State | North Dakota (ND) |
| Post Code | 581032018 |
| Phone Number | 7012826561 |
| Fax Number | 7012770306 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 1409 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Post Comment/ Review Below
What is the unique identifier code issued to Orville S Mandan by the Centers for Medicare & Medicaid Services (CMS)?
The Orville S Mandan has been assigned the NPI (National Provider Identifier) 1710150099. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Orville S Mandan?
The Orville S Mandan is physically situated at 4227 9Th Ave Sw, in the city of Fargo, state of ND, with the postal code 581032018.
What is Orville S Mandan's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Orville S Mandan's specialized field of practice is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of specialization is 101Ya0400X.
When did Orville S Mandan receive its 1710150099 assignment?
The Orville S Mandan was assigned its 1710150099 on 2008-04-08, which is the date when this unique identifier was issued to the organization.
When was the Orville S Mandan's information last updated?
The Orville S Mandan's information was last updated on 2008-04-08.