OrganizationActive
Minnesota State University-Moorhead
NPI 1306384649 · Clinic/Center · Moorhead, MN
Provider details
- NPI number
- 1306384649
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Minnesota State Colleges and Universities
- Organization subpart
- Yes
- Authorized official
- Michelle Iverson, Speech Language Pathologist(218) 477-2385
- License
- 5512 (MN)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1104 7th Ave S
Moorhead, MN 56563-0001
Phone: (218) 477-2385
Approximate (ZIP-level) locationGet directions
Mailing address
1104 7th Ave S
Moorhead, MN 56563-0001
Registry dates
- Enumerated
- 2017-02-07
- Last updated
- 2017-02-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.