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MINNESOTA STATE UNIVERSITY-MOORHEAD
NPI 1306384649
Clinic/Center in Moorhead, MN

Active since February 07, 2017
1104 7TH AVE S, MOORHEAD, MN 56563(218) 477-2385 Get Directions Write a Review

NPPES record last updated: February 7, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Minnesota State University-moorhead NPPES

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

MINNESOTA STATE UNIVERSITY-MOORHEAD (NPI 1306384649) is a healthcare organization registered as a clinic/center in Moorhead, Minnesota and active in the NPI registry since February 2017. The organization lists Michelle Marian Iverson, Speech Language Pathologist, as its authorized official.

NPPES Registry Identity

NPI1306384649
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameMINNESOTA STATE UNIVERSITY-MOORHEAD
Location Address1104 7TH AVE SMoorhead, MN 56563-0001
Mailing Address1104 7th Ave SMoorhead, MN 56563-0001 · (218) 477-2385
Phone(218) 477-2385
Organization SubpartYesParent: Minnesota State Colleges And Universities
Authorized OfficialMichelle Marian IversonSpeech Language Pathologist · (218) 477-2385
Enumeration DateFebruary 7, 2017
✔ NPI 1306384649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in MN · 5512
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1104 7TH AVE S, Moorhead, MN 56563
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Other Identifiers 1

Other5512MN · Mde License

Other Providers at the Same Location NPPES 14

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

LARAE A MCGILLIVRAY MS CCCSLP
Speech-Language Pathologist
1104 7TH AVE S, MSUM BOX 119
MOORHEAD, MN 56563
Clay County (218) 477-4639
STEPHANIE KAY HOLM SLP-CCC-MS
Speech-Language Pathologist
1104 7TH AVE S
MOORHEAD, MN 56563
Clay County (218) 477-2330
CHIKARA HIRAOKA
Student in an Organized Health Care Education/Training Program
1104 7TH AVE S
MOORHEAD, MN 56563
Clay County (218) 477-2626
MRS. MICHELLE GRACE TRANBY L.M.T.
Massage Therapist
1104 7TH AVE S
MOORHEAD, MN 56563
Clay County (218) 790-0113
NANCY A PAUL MS CCCSLP
Speech-Language Pathologist
1104 7TH AVE S, MSUM BOX 119
MOORHEAD, MN 56563
Clay County (218) 477-4642
HENDRIX HEALTH CENTER PHARMACY
Pharmacist
1104 7TH AVE S
MOORHEAD, MN 56563
Clay County (218) 477-5875
DR. JAY MICHAEL ALBRECHT PH.D.
Specialist/Technologist (Athletic Trainer)
1104 7TH AVE S, MINNESOTA STATE UNIVERSITY MOORHEAD
MOORHEAD, MN 56563
Clay County (218) 477-2864
DR. LISA KARCH PHD, LPC, NCC
Counselor (Professional)
1104 7TH AVE S
MOORHEAD, MN 56563
Clay County (218) 477-2513

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 Minnesota State University-Moorhead's NPI number?

The NPI number for Minnesota State University-Moorhead is 1306384649. It was assigned to this organization in the NPPES registry on February 7, 2017.

Where is Minnesota State University-Moorhead located?

Minnesota State University-Moorhead is located at 1104 7th Ave S, Moorhead, MN 56563. The listed phone number is (218) 477-2385.

What is Minnesota State University-Moorhead's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Minnesota State University-Moorhead was last updated on February 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.