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FARGO VA CLINIC
NPI 1194358739
Clinic/Center - VA in Fargo, ND

Active since February 21, 2020
721 1ST AVE N, FARGO, ND 58102(913) 578-4409(913) 578-4536 Get Directions Write a Review

NPPES record last updated: April 27, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 10, 2020, Feb 21, 2020 (2 updates tracked since 2020).

About Fargo Va Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FARGO VA CLINIC (NPI 1194358739) is a healthcare organization registered as a va in Fargo, North Dakota and active in the NPI registry since February 2020. The organization lists Erin Denise Potter, Npi Team Lead, as its authorized official.

NPPES Registry Identity

NPI1194358739
Entity TypeOrganization
Primary Taxonomy261QV0200X
Legal Business NameFARGO VAMC
Location Address721 1ST AVE NFargo, ND 58102-4903
Mailing AddressPo Box 94452Cleveland, OH 44101-4452 · (913) 578-4409 · Fax (913) 578-4536
Phone(913) 578-4409
Fax(913) 578-4536
Organization SubpartNo
Authorized OfficialErin Denise PotterNpi Team Lead · (202) 382-2579
Enumeration DateFebruary 21, 2020
Last NPPES UpdateApril 27, 20202 updates tracked since enumeration
NPPES CertifiedApril 27, 2020
✔ NPI 1194358739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · VAAmbulatory Health Care Facilities
Taxonomy Code261QV0200X
721 1ST AVE N, Fargo, ND 58102
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Other Names 1

Other NameFargo Va Clinic

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RACHEL MARSOLEK LICSW
Social Worker (Clinical)
721 1ST AVE N
FARGO, ND 58102
Cass County (701) 461-7364
RACHEL BAUMGART
Registered Nurse (Ambulatory Care)
721 1ST AVE N
FARGO, ND 58102
Cass County (701) 461-7330
CAITLIN MART LCSW
Social Worker (Clinical)
721 1ST AVE N
FARGO, ND 58102
Cass County (701) 461-7330
LORI LYNNE ESPELAND LPN
Licensed Practical Nurse
721 1ST AVE N
FARGO, ND 58102
Cass County (701) 461-7330
ANDREA LYNN VILHAUER LCSW
Social Worker (Clinical)
721 1ST AVE N
FARGO, ND 58102
Cass County (701) 461-7330
RIC GUTIERREZ
Case Management
721 1ST AVE N
FARGO, ND 58102
Cass County (701) 461-7330
JENNIFER WILLIAMS
Social Worker
721 1ST AVE N
FARGO, ND 58102
Cass County (701) 200-8713
MYRLA VILLA
Social Worker
721 1ST AVE N
FARGO, ND 58102
Cass County (701) 461-7330

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fargo Vamc's NPI number?

The NPI number for Fargo Vamc is 1194358739. It was assigned to this organization in the NPPES registry on February 21, 2020. The provider is also known as Fargo VA Clinic.

Where is Fargo Vamc located?

Fargo Vamc is located at 721 1st Ave N, Fargo, ND 58102. The listed phone number is (913) 578-4409.

What is Fargo Vamc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in VA, with taxonomy code 261QV0200X.

When was this NPI record last updated?

The NPPES record for Fargo Vamc was last updated on April 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.