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Minnesota State University-moorhead
Clinic/Center in Moorhead, Minnesota
NPI 1306384649

Minnesota State University-moorhead is a Clinic/Center based in Moorhead, MN. Minnesota State University-moorhead practices in Moorhead, MN. The NPI Number for Minnesota State University-moorhead is 1306384649 and holds a License No. 5512 (Minnesota).

The current practice location address for Minnesota State University-moorhead is 1104 7Th Ave S, Moorhead, MN and can be reached out via phone at 218-477-2385.

Location: 1104 7Th Ave S, Moorhead, MN, 56563-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1306384649
Provider Name
Minnesota State University-moorhead
Credential
Provider Entity Type
Organization
Address
1104 7Th Ave S, Moorhead, MN, 56563-0001
Phone Number
218-477-2385
Fax Number
Provider Enumeration Date
02/07/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5512 01 MN MDE LICENSE
institution
Provider Business Practice Location Address Details
Address
1104 7Th Ave S
City
Moorhead
State
Minnesota
Zip
56563-0001
Phone Number
218-477-2385
Fax Number
person
Provider Business Mailing Address Details
Address
1104 7Th Ave S
City
Moorhead
State
Minnesota
Zip
56563-0001
Phone Number
218-477-2385
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
5512 (Minnesota)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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