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FP581077 FARGO CASS PUBLIC HEALTH (Active)
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Main Details
Name
FARGO CASS PUBLIC HEALTH
Subdivision Name
Type
Family Planning (Title X only)
340B ID
FP581077
Grant Number
5 FPHPA006519-04-00
Additional Details
Current Program Status
Active
Registration Date
1/1/1998
Participating Start Date
1/1/1998
Participating Approval Date
9/15/2004
Last Recertification Date
5/7/2025
Contacts
Authorizing Official
Fargo Cass Public Health
Jenn Faul, Director of Public Health
(701) 241-1380
Primary Contact
Fargo Cass Public Health
LARRY ANENSON, DIRECTOR OF HEALTH PROTECTION AND PROMOTION
(701) 241-8575
Addresses
Street Address
1240 25th Street South
FARGO, ND 58103
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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3/1/12 NPI # added
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