RESURGENT HEALTH, PLLC
NPI 1467201954
Family Medicine in Fargo, ND

Active since May 16, 2024CLIA 35D2305774 · Waiver
5621 36TH AVE S UNIT 400, FARGO, ND 58104(701) 599-3950(701) 495-9540 Get Directions Write a Review

NPPES record last updated: May 16, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Resurgent Health, Pllc NPPES

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

RESURGENT HEALTH, PLLC (NPI 1467201954), doing business as Resurgent Health, is a healthcare organization registered as a family medicine in Fargo, North Dakota and active in the NPI registry since May 2024. The organization holds a CLIA Waiver certificate valid through June 5, 2028 and lists Alyson Dahl, President, as its authorized official.

NPPES Registry Identity

NPI1467201954
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameRESURGENT HEALTH, PLLC
Location Address5621 36TH AVE S UNIT 400Fargo, ND 58104-5270
Mailing Address5621 36th Ave S Unit 400Fargo, ND 58104-5270 · (701) 599-3950 · Fax (701) 495-9540
Fax(701) 495-9540
Organization SubpartNo
Authorized OfficialAlyson DahlPresident · (701) 308-1429
Enumeration DateMay 16, 2024
NPPES CertifiedMay 16, 2024
NPI 1467201954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedRegistered NurseTaxonomy 163W00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
5621 36TH AVE S UNIT 400, Fargo, ND 58104

Other Names 1

Doing Business AsResurgent Health

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 35D2305774

Resurgent Health · Fargo, ND
Active · expires Jun 5, 2028
CLIA Number35D2305774
Laboratory TypePhysician Office
Certificate Effective DateJune 6, 2026
Certificate Expiration DateJune 5, 2028
Laboratory DirectorKristine E. Martens
Laboratory Phone(701) 599-3950
Laboratory LocationResurgent Health5621 36th Ave S Ste 400, Fargo, ND 58104
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Family Medicine
5621 36TH AVE S UNIT 400
FARGO, ND 58104
Physician Assistant
5621 36TH AVE S UNIT 400
FARGO, ND 58104

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 Resurgent Health, PLLC's NPI number?

The NPI number for Resurgent Health, PLLC is 1467201954. It was assigned to this organization in the NPPES registry on May 16, 2024. The provider is doing business as Resurgent Health.

Where is Resurgent Health, PLLC located?

Resurgent Health, PLLC is located at 5621 36th Ave S Unit 400, Fargo, ND 58104. The listed phone number is (701) 599-3950.

What is Resurgent Health, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Resurgent Health, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 35D2305774) is associated with this NPI, valid through June 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Resurgent Health, PLLC was last updated on May 16, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.