Southeast Human Service Center

LBN: Southeast Human Service Center
Southeast Human Service Center is an health care organization with primary practice located at 2624 9Th Ave S , Fargo ND 58103-2350. The organization recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as the primary health care specialty. Southeast Human Service Center can be contacted via phone (701) 298-4500, or through Fuglesten, Candace Cae via phone (701) 298-4500.

Contact Information

Primary practice address
2624 9Th Ave S Fargo ND 58103-2350
Phone: (701) 298-4500
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fuglesten, Candace Cae
Phone: (701) 298-4500

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X

Profile Details

NPI number 1922055243
LBN Legal business name Southeast Human Service Center
DBA Doing business as
Authorized official Fuglesten, Candace Cae
Entity Organization
Organization subpart 1 No
Enumeration date May 30th, 2006
Last updated Aug 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 1922055243 NPPES
North Dakota MEDICAID 035434

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