Southeast Human Service Center in Fargo - Adult Mental Health
Southeast Human Service Center - NPI 1932146941
Southeast Human Service Center is a Adult Mental Health in Fargo, North Dakota. Southeast Human Service Center practices all healthcare services and medical treatments related to Adult Mental Health. The NPI Number for Southeast Human Service Center is 1932146941. The last update date is 2020-12-10.
Southeast Human Service Center's current location address is 2624 9th Ave S, Fargo, North Dakota. You can contact this provider via phone number 7012984500 and fax number 7012984400. The mailing address for Southeast Human Service Center is 2624 9th Ave S, Fargo, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southeast Human Service Center |
|---|---|
| Address | 2624 9th Ave S, Fargo, North Dakota |
| Phone Number | 7012984500 |
| Fax Number | 7012984400 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Stenseth J Jeffrey |
| Telephone Number | 7012984500 |
NPI Number Detail
| NPI Number | 1932146941 |
|---|---|
| Provider Enumeration Date | 2006-05-31 |
| Last Updated Date | 2020-12-10 |
Provider Mailing Address Detail
| Address | 2624 9th Ave S |
|---|---|
| City | Fargo |
| State | North Dakota (ND) |
| Post Code | 581032350 |
| Phone Number | 7012984500 |
| Fax Number | 7012984400 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Mental Health |
|---|---|
| Taxonomy | 261Qm0850X |
|
Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 54520 | ND | -- | |
| 90981SO | MN | BCBS OF MN | |
| 100001 | ND | BCBS OF ND |
Post Comment/ Review Below
What is the unique identifier code issued to Southeast Human Service Center by the Centers for Medicare & Medicaid Services?
The Southeast Human Service Center has been assigned the NPI (National Provider Identifier) 1932146941. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Southeast Human Service Center?
The Southeast Human Service Center is situated at 2624 9Th Ave S, in the city of Fargo, state of ND, with the zip code 581032350.
What is Southeast Human Service Center's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Southeast Human Service Center is Adult Mental Health, and the taxonomy classification code that categorizes this area of expertise is 261Qm0850X.
On what date did Southeast Human Service Center receive its 1932146941 assignment from the Centers for Medicare & Medicaid Services?
The Southeast Human Service Center was assigned its 1932146941 on 2006-05-31, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Southeast Human Service Center, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Southeast Human Service Center, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-12-10.