CCN: 357304 NPI: 1659547669 Organization

HEALTHY AT HOME

1205 4TH AVE S
FARGO, ND 581038210

Contact Information

Phone 7012370004
Fax 7012370029
Enumeration Date 2008-04-30
Last Updated 2020-04-22

Taxonomies

Code: 251E00000X (Primary) License State: MN License: 336384

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 6

providerType 36

censusDivision 6

providerType 36

censusDivision 6

providerType 36

censusDivision 6

providerType 36

censusDivision 6

providerType 36

censusDivision 6

providerType 36

censusDivision 6

providerType 36

censusDivision 6

providerType 36

censusDivision 6

providerType 36

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 22020

providerType 36

specialPaymentIndicator

carrierCode 03302

localityCode 01