North Dakota State University

LBN: North Dakota State University
North Dakota State University is an health care organization with primary practice located at 1707 Centennial Boulevard , Fargo ND 58102. The organization recently has 3 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Ambulatory Health Care Facilities / Clinic/Center, Laboratories / Clinical Medical Laboratory. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty. North Dakota State University can be contacted via phone (701) 231-7331, or through Shepherd, Teri Lynn via phone (701) 231-5239.

Contact Information

Primary practice address
1707 Centennial Boulevard Fargo ND 58102
Fax: (701) 231-6132
Website:
Authorized official contact:
Name: Shepherd, Teri Lynn

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 168 North Dakota
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Laboratories / Clinical Medical Laboratory 291U00000X 95503681 North Dakota

Profile Details

NPI number 1427152115
LBN Legal business name North Dakota State University
DBA Doing business as
Authorized official Shepherd, Teri Lynn
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2006
Last updated Oct 23rd, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427152115 NPPES
North Dakota MEDICAID 13139

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