Pro Rehab Center, Inc

LBN: Professional Rehabilitation Center Inc
Pro Rehab Center, Inc is an health care organization with primary practice located at 4450 31St Ave S Ste 104 , Fargo ND 58104-4557. The organization recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is the primary health care specialty. Professional Rehabilitation Center Inc can be contacted via phone (701) 451-9417, or through Fonder, Tina D via phone (701) 451-9417.

Contact Information

Primary practice address
4450 31St Ave S Ste 104 Fargo ND 58104-4557
Phone: (701) 451-9417
Fax: (701) 298-0066
Website:
Map and Directions
Authorized official contact:
Name: Fonder, Tina D
Phone: (701) 451-9417

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X North Dakota
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X North Dakota

Profile Details

NPI number 1215014105
LBN Legal business name Professional Rehabilitation Center Inc
DBA Doing business as Pro Rehab Center, Inc
Authorized official Fonder, Tina D
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 1st, 2006
Last updated Oct 29th, 2019 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1215014105 NPPES
Minnesota Other 018T6PR BLUE PLUS OF MINNESOTA
Minnesota MEDICAID 53165 BLUE PLUS OF MINNESOTA
Minnesota MEDICAID 552323100 BLUE PLUS OF MINNESOTA
Minnesota MEDICAID 53170 BLUE PLUS OF MINNESOTA
Minnesota Other O18T6PR BLUE PLUS OF MINNESOTA
Minnesota Other 5517001 BLUE PLUS OF MINNESOTA

Popular Providers