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SUNRISE YOUTH SERVICES INC
NPI 1609606805
General Practice in Fargo, ND

Active since August 03, 2024
112 UNIVERSITY DR N STE L140, FARGO, ND 58102(701) 639-3356 Get Directions Write a Review

NPPES record last updated: August 3, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sunrise Youth Services Inc NPPES

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

SUNRISE YOUTH SERVICES INC (NPI 1609606805) is a healthcare organization registered as a general practice in Fargo, North Dakota and active in the NPI registry since August 2024. The organization lists Mason Andrew Peterson, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1609606805
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameSUNRISE YOUTH SERVICES INC
Location Address112 UNIVERSITY DR N STE L140Fargo, ND 58102-4635
Mailing Address112 University Dr N Ste L140Fargo, ND 58102-4635 · (701) 639-3356
Phone(701) 639-3356
Organization SubpartNo
Authorized OfficialMason Andrew PetersonChief Executive Officer · (701) 639-3356
Enumeration DateAugust 3, 2024
NPPES CertifiedAugust 3, 2024
✔ NPI 1609606805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
112 UNIVERSITY DR N STE L140, Fargo, ND 58102
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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

Other Providers at the Same Location NPPES

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

EDNA PEARLEEANNE PETERSON CNA
Nurse's Aide
112 UNIVERSITY DR N STE L140
FARGO, ND 58102
Cass County (218) 880-1520

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 Sunrise Youth Services Inc's NPI number?

The NPI number for Sunrise Youth Services Inc is 1609606805. It was assigned to this organization in the NPPES registry on August 3, 2024.

Where is Sunrise Youth Services Inc located?

Sunrise Youth Services Inc is located at 112 University Dr N Ste L140, Fargo, ND 58102. The listed phone number is (701) 639-3356.

What is Sunrise Youth Services Inc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Sunrise Youth Services Inc was last updated on August 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.