St. Sophie'S, Llc

LBN: St. Sophie'S, Llc
St. Sophie'S, Llc is an health care organization with primary practice located at 3201 33Rd St S , Fargo ND 58104-8823. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Adolescent and Children Mental Health is the primary health care specialty. St. Sophie'S, Llc can be contacted via phone (701) 365-4488, or through Frei, Tracey Jean via phone (701) 365-4467.

Contact Information

Primary practice address
3201 33Rd St S Fargo ND 58104-8823
Fax: (701) 365-0727
Website:
Authorized official contact:
Name: Frei, Tracey Jean

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X 7174 North Dakota
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X 7174 North Dakota

Profile Details

NPI number 1336443654
LBN Legal business name St. Sophie'S, Llc
DBA Doing business as
Authorized official Frei, Tracey Jean
Entity Organization
Organization subpart 1 No
Enumeration date Dec 29th, 2010
Last updated Apr 30th, 2014 - about 10 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 1336443654 NPPES
North Dakota MEDICAID 15685

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