Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Tellegacy LLC

Organization Community Health Clinic/Center · NPI 1215831177

Tellegacy LLC provides Community Health Clinic/Center services in Fargo, North Dakota. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3523 45th St S # 164
Fargo, ND 58104-8962
Phone: (419) 270-7511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Clinic/Center (primary) Taxonomy 261QC1500X
Research Clinic/Center Taxonomy 261QR1100X
Rural Health Clinic/Center Taxonomy 261QR1300X
Community/Behavioral Health Agency Taxonomy 251S00000X

Record details

NPI number1215831177
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeremy Holloway — Director · (419) 270-7511
NPI enumeratedOctober 5, 2026
Last updated in NPPESOctober 5, 2026
Certification dateOctober 1, 2026
Mailing address3523 45th St S, Fargo, ND 58104-8962

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