1. Home
  2. Directory
  3. Minnesota
  4. East Grand Forks
  5. Nurse Practitioner
  6. NPI Profile

BALM OF GILEAD HEALTHCARE LLC
NPI 1730889882
Nurse Practitioner - Psychiatric/Mental Health in East Grand Forks, MN

Active since March 07, 2023
1618 CENTRAL AVE NE, EAST GRAND FORKS, MN 56721(218) 779-9437 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Balm Of Gilead Healthcare Llc NPPES

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

BALM OF GILEAD HEALTHCARE LLC (NPI 1730889882) is a healthcare organization registered as a psychiatric/mental health in East Grand Forks, Minnesota and active in the NPI registry since March 2023. The organization lists Muluh Fongwi Fongwi Laduna Fondong, Partner, as its authorized official.

NPPES Registry Identity

NPI1730889882
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameBALM OF GILEAD HEALTHCARE LLC
Location Address1618 CENTRAL AVE NEEast Grand Forks, MN 56721-1335
Mailing Address2448 42nd Ave SGrand Forks, ND 58201-3483 · (218) 779-9437
Phone(218) 779-9437
Organization SubpartNo
Authorized OfficialMuluh Fongwi Fongwi Laduna FondongPartner · (218) 779-9437
Enumeration DateMarch 7, 2023
NPPES CertifiedMarch 7, 2023
✔ NPI 1730889882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X
1618 CENTRAL AVE NE, East Grand Forks, MN 56721
Open in Google Maps ↗

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

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 Balm Of Gilead Healthcare LLC's NPI number?

The NPI number for Balm Of Gilead Healthcare LLC is 1730889882. It was assigned to this organization in the NPPES registry on March 7, 2023.

Where is Balm Of Gilead Healthcare LLC located?

Balm Of Gilead Healthcare LLC is located at 1618 Central Ave NE, East Grand Forks, MN 56721. The listed phone number is (218) 779-9437.

What is Balm Of Gilead Healthcare LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Balm Of Gilead Healthcare LLC was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.