<Unavail>

LBN: Peterson Tcs Llc
<Unavail> is an health care organization with primary practice located at 1205 4Th Ave S , Fargo ND 58103-8210. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Peterson Tcs Llc can be contacted via phone (701) 237-0004, or through Peterson, Joel K via phone (701) 237-0004.

Contact Information

Primary practice address
1205 4Th Ave S Fargo ND 58103-8210
Phone: (701) 237-0004
Fax: (701) 237-0029
Website:
Map and Directions
Authorized official contact:
Name: Peterson, Joel K
Phone: (701) 237-0004

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X 336384 Minnesota

Profile Details

NPI number 1659547669
LBN Legal business name Peterson Tcs Llc
DBA Doing business as <Unavail>
Authorized official Peterson, Joel K
Entity Organization
Organization subpart 1 No
Enumeration date Apr 30th, 2008
Last updated Apr 22nd, 2020 - 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 1659547669 NPPES
Minnesota MEDICAID 994613600
Minnesota MEDICAID 1456810

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