SOUTH CENTRAL HUMAN SERVICE CENTER (NPI# 1154842185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154842185 |
Entity Type | Organization |
Organization Name | SOUTH CENTRAL HUMAN SERVICE CENTER |
Practice Address |
520 3rd St Nw Jamestown ND 58402-2055 |
Mailing Address |
520 3rd St Nw Jamestown ND 58401-2968 |
Practice Telephone | (701) 253-6400 |
Practice Fax Number | 7012536400 |
Mailing Telephone | 7012536400 |
Mailing Fax Number | 7012536400 |
Enumeration Date | 2017-06-29 |
Last Update Date | 2017-06-29 |
Authorized Official Name | JEFF STENSETH (DIRECTOR) |
Authorized Official Telephone | 7012984578 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ND | ND249519 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194778944 | South Central Human Service Center | Clinic/Center | 520 3rd St Nw, Jamestown, ND 58401-2968 | 2006-05-19 |
1225075906 | South Central Human Service Center | Clinic/Center | 520 3rd St Nw, Jamestown, ND 58401 | 2006-06-01 |
Street Address |
520 3RD ST NW |
City | JAMESTOWN |
State | ND |
Zip Code | 58402-2055 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194778944 | South Central Human Service Center | Clinic/Center | 520 3rd St Nw, Jamestown, ND 58401-2968 | 2006-05-19 |
1235745167 | Jodi L Grugel | Case Manager/Care Coordinator | 520 3rd St Nw, Jamestown, ND 58401-2968 | 2020-09-16 |
1588277081 | Cristal Ackerman | Technician, Other | 520 3rd St Nw, Jamestown, ND 58401-2968 | 2020-08-25 |
1477166189 | Alyssa Eppen | Counselor | 520 3rd St Nw, Jamestown, ND 58401-2968 | 2020-08-24 |
1528670833 | Tiffany F Johnson | Technician, Other | 520 3rd St Nw, Jamestown, ND 58401-2968 | 2020-08-18 |
1477184034 | Brandon L Dobson | Technician, Other | 520 3rd St Nw, Jamestown, ND 58401-2968 | 2020-01-31 |
1770123010 | Jessica Lynn Myers | Technician, Other | 520 3rd St Nw, Jamestown, ND 58401-2968 | 2020-01-15 |
1073153565 | Lisa Jo Harrington | Technician, Other | 520 3rd St Nw, Jamestown, ND 58401-2968 | 2020-01-13 |
1194365973 | Tina Mikkelson | Technician, Other | 520 3rd St Nw, Jamestown, ND 58401-2968 | 2020-01-09 |
1801432844 | Kayla Leslie Schneibel | Counselor | 520 3rd St Nw, Jamestown, ND 58401-2968 | 2019-11-25 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225382658 | Amanda Rose Rosencrans | Physical Therapist | 701 3rd St Sw, Jamestown, ND 58402 | 2012-11-07 |
1386895290 | Thomas James Rene | Optometrist | 300 2nd Ave Ne, Jamestown Mall Suite 102, Jamestown, ND 58402 | 2008-10-09 |
1073720140 | Alpha Opportunities, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1521 Business Loop E, Jamestown, ND 58402-0824 | 2007-05-17 |
1407063514 | Alpha Opportunities, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1521 Business Loop E, Jamestown, ND 58402-0824 | 2007-05-17 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023619962 | Alpha Opportunities, Inc. | Community/Behavioral Health | 705 14th St Ne, Jamestown, ND 58401-2626 | 2020-11-06 |
1811598758 | Alpha Opportunities, Inc. | Community/Behavioral Health | 906 9th Ave Ne, Jamestown, ND 58401-6503 | 2020-11-06 |
1699373118 | Triumph, Inc. | Community/Behavioral Health | 1805 2nd Ave Sw, Jamestown, ND 58401-6308 | 2020-10-16 |
1588296388 | Great Plains Housing Authority | Community/Behavioral Health | 300 2nd Ave Ne Ste 200, Jamestown, ND 58401-3373 | 2020-02-10 |
1164979233 | St. Thomas Counseling Center, Pllc | Community/Behavioral Health | 108 1st Ave S # 5, Jamestown, ND 58401-4101 | 2016-09-07 |
1275911331 | Quantum Counseling Services | Community/Behavioral Health | Hotel Jamestown Bldg, 110 West Third Street, Suite 404, Jamestown, NY 14701-5112 | 2015-05-11 |
1548694268 | The Guilford County Resource and Referral Center | Community/Behavioral Health | 725-b W. Main Street, Jamestown, NC 27282 | 2013-08-29 |
1790083228 | Hart Counseling Services Pllc | Community/Behavioral Health | 1609 7th Ave Ne, Jamestown, ND 58401-2518 | 2011-03-08 |
1437472248 | Lifecare Family Services | Community/Behavioral Health | 1911 Michigan Avenue, Jamestown, TN 38556 | 2010-03-08 |
1841526522 | Balqis Tasleem Ali | Community/Behavioral Health | 115 E Main St Ste C, Jamestown, NC 27282-9199 | 2009-10-30 |
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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.