Healthcare Provider Details

I. General information

NPI: 1629714530
Provider Name (Legal Business Name): TRUE NORTH GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2022
Last Update Date: 05/12/2022
Certification Date: 05/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3450 38TH AVE S
FARGO ND
58104-7852
US

IV. Provider business mailing address

3450 38TH AVE S
FARGO ND
58104-7852
US

V. Phone/Fax

Practice location:
  • Phone: 701-997-6544
  • Fax:
Mailing address:
  • Phone: 701-997-6544
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: HEATHER BJUR
Title or Position: DIRECTOR
Credential:
Phone: 701-997-6544