Fargo Vamc

NPI #1346437944 in Bemidji, Minnesota

Provider Information

NPI Number: 1346437944
Entity Type: Organization
Organization Name: Fargo Vamc
Primary Specialty: Clinic/Center - VA
Enumeration Date: Sep 27, 2007
Last Updated: May 3, 2018

Practice Location

Address: 1217 ANNE ST NW
City: Bemidji
State: Minnesota
ZIP Code: 56601-5113
Phone: (913) 578-4409

Authorized Official

Name: ERIN DENISE POTTER
Title: NPI TEAM MEMBER
Phone: (202) 382-2579

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - VA — VA	261QV0200X	Primary

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