BADLANDS HUMAN SERVICE CENTER (NPI# 1124072525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124072525 |
| Entity Type | Organization |
| Organization Name | BADLANDS HUMAN SERVICE CENTER |
| Other Organization Name | BADLANDS HSC |
| Practice Address |
300 13th Ave W Ste 1 Dickinson ND 58601-4875 |
| Practice Telephone | 7012277500 |
| Practice Fax Number | 7012277575 |
| Mailing Telephone | 7012277500 |
| Mailing Fax Number | 7012277575 |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2014-07-18 |
| Authorized Official Name | MS. SANDY THOMPSON (REGIONAL DIRECTOR) |
| Authorized Official Telephone | 7012277538 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
1019 | ND | Ambulatory Health Care Facilities |
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 054523 | 05 | |
| ND | BCBS OF ND | 235001 | 01 |
| Other Name | Type Code |
|---|---|
| Badlands HSC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952828360 | Badlands Human Service Center | Community/Behavioral Health | 300 13th Ave W, Suite 1, Dickinson, ND 58601-4875 | 2017-08-25 |
| 1437196573 | Badlands Human Service Center | Clinic/Center | 300 13th Ave W Ste 1, Dickinson, ND 58601-4875 | 2006-05-31 |
| Street Address |
300 13TH AVE W STE 1 |
| City | DICKINSON |
| State | ND |
| Zip Code | 58601-4875 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558346759 | Dawn Stewart | Social Worker | 300 13th Ave W Ste 1, Dickinson, ND 58601 | 2005-12-09 |
| 1346864972 | Cartrena Watkins | Technician, Other | 300 13th Ave W Ste 1, Dickinson, ND 58601-4875 | 2020-05-29 |
| 1598387268 | Linette L Polensky | Registered Nurse | 300 13th Ave W Ste 1, Dickinson, ND 58601-4875 | 2020-05-15 |
| 1598384539 | Merilyne Ruzvidzo | Technician, Other | 300 13th Ave W Ste 1, Dickinson, ND 58601-4875 | 2020-04-09 |
| 1508485681 | Sara A Slaughter | Technician, Other | 300 13th Ave W Ste 1, Dickinson, ND 58601-4875 | 2020-04-09 |
| 1881223790 | Sarah Makaka | Technician, Other | 300 13th Ave W Ste 1, Dickinson, ND 58601-4875 | 2020-04-02 |
| 1346878576 | Kayla Olheiser | Technician, Other | 300 13th Ave W Ste 1, Dickinson, ND 58601-4875 | 2020-04-01 |
| 1932737137 | Mary Hodell | Technician, Other | 300 13th Ave W Ste 1, Dickinson, ND 58601-4875 | 2020-04-01 |
| 1356979579 | Marilyn Marx | Technician, Other | 300 13th Ave W Ste 1, Dickinson, ND 58601-4875 | 2020-04-01 |
| 1407484678 | Mariela Sanchez | Technician, Other | 300 13th Ave W Ste 1, Dickinson, ND 58601-4875 | 2020-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679171235 | Able Inc | Community/Behavioral Health | 1951 1st Street West, Dickinson, ND 58601 | 2020-10-15 |
| 1922626456 | Tess R Johnson, Pllc | Clinic/Center | 579 River Drive, Dickinson, ND 58601 | 2020-07-10 |
| 1295367449 | Winds of Change Counseling Services LLC | Psychologist | 30 7th St. W, Door A, Dickinson, ND 58601 | 2020-02-05 |
| 1588194351 | Nancy Wanner | Case Manager/Care Coordinator | 135 Sims Street, Suite 208, Dickinson, ND 58601 | 2017-06-14 |
| 1518332352 | Chi St. Joseph's Hospital | General Acute Care Hospital | 2500 Fairway St., Dickinson, ND 58601 | 2015-12-04 |
| 1205200359 | Jenna Weisz | Occupational Therapist | 870 Pheasant Run Ave, Dickinson, ND 58601 | 2015-11-29 |
| 1609243450 | Little Missouri Chiropractic, LLC | Chiropractor | 1462 1-94 Business Loop East, Dickinson, ND 58601 | 2015-08-27 |
| 1053799320 | Lisette Michaels | Speech-Language Pathologist | 683 State Ave N, Dickinson, ND 58601 | 2015-05-07 |
| 1336548221 | Neal Steiner | Pharmacist | 352c 1st St E, Dickinson, ND 58601 | 2014-08-18 |
| 1841607793 | Isaac Akinola | Pharmacist | 1681 Third Ave W., Dickinson, ND 58601 | 2014-07-11 |
| Find all providers in zip 58601 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922626456 | Tess R Johnson, Pllc | Clinic/Center | 579 River Drive, Dickinson, ND 58601 | 2020-07-10 |
| 1043451370 | Sacajawea Substance Abuse Counseling and Drug Testing Center | Clinic/Center | 112 3rd Street West, Suite 301, Dickinson, ND 58601 | 2009-03-17 |
| 1205932233 | Heart River Alcohol and Drug Abuse Services Inc. | Clinic/Center | 24 W Villard St Ste B, Dickinson, ND 58601-5152 | 2006-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609492016 | Igniting Your Change | Clinic/Center | 1222 4th Ave N Apt 318, Fargo, ND 58102-4374 | 2020-06-22 |
| 1922636323 | Peace of Mind Counseling, Pllc | Clinic/Center | 8351 Palomino Dr, Bismarck, ND 58504-4044 | 2020-03-31 |
| 1093295859 | Healing Hearts Therapy, LLC | Clinic/Center | 511 2nd St W, Williston, ND 58801-5907 | 2018-08-20 |
| 1801337415 | Selah Counseling | Clinic/Center | 125 Main St, Suite #220, Williston, ND 58801 | 2017-03-15 |
| 1225414956 | 30:17 Counseling | Clinic/Center | 1751 Main Ave E, West Fargo, ND 58078-2203 | 2015-08-04 |
| 1265658967 | Center for Self-growth & Renewal, PC | Clinic/Center | 1551 28th Ave S, Suite C, Grand Forks, ND 58201-6782 | 2007-04-18 |
| 1588694392 | The Village Family Service Centere | Clinic/Center | 20 1st St Sw, Minot, ND 58701-3851 | 2006-07-04 |
| 1770524613 | Northwest Human Service Center | Clinic/Center | 316 2nd Ave W, Williston, ND 58801-5218 | 2006-06-10 |
| 1477592533 | North Central Human Service Center | Clinic/Center | 1015 S Broadway Ste 18, Minot, ND 58701-4667 | 2006-06-05 |
| 1366496341 | Northeast Human Service Center | Clinic/Center | 151 S 4th St, Suite 401, Grand Forks, ND 58201-4715 | 2006-05-22 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.