SOUTH CENTRAL HUMAN SERVICE CENTER (NPI# 1194778944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194778944 |
| Entity Type | Organization |
| Organization Name | SOUTH CENTRAL HUMAN SERVICE CENTER |
| Practice Address |
520 3rd St Nw Jamestown ND 58401-2968 |
| Mailing Address |
520 3rd St Nw Po Box 2055 Jamestown ND 58401-2968 |
| Practice Telephone | 7012536300 |
| Practice Fax Number | 7012536400 |
| Mailing Telephone | 7012536300 |
| Mailing Fax Number | 7012536400 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LYNN NELSON (REGIONAL DIRECTOR) |
| Authorized Official Telephone | 7012536300 |
| Authorized Official Credential | LSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 032319 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154842185 | South Central Human Service Center | Community/Behavioral Health | 520 3rd St Nw, Jamestown, ND 58402-2055 | 2017-06-29 |
| 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 | 58401-2968 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1073158408 | Jack K Hartley | Counselor | 520 3rd St Nw, Jamestown, ND 58401-2968 | 2019-11-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396343737 | Face and Jaw Surgeons PC | Dentist | 1517 12 Ave Ne, Jamestown, ND 58401 | 2020-10-16 |
| 1194216481 | Richard Yonick | Case Manager/Care Coordinator | South Central Human Service Center, 520 3rd St Nw, Jamestown, ND 58401 | 2018-05-23 |
| 1831607910 | Creative Journey, LLC | Clinic/Center | 429 2nd St Sw Ste 205, Jamestown, ND 58401 | 2018-01-11 |
| 1619399334 | Stutsman County Social Services | Case Manager/Care Coordinator | 116 1st Street East, Jamestown, ND 58401 | 2014-01-15 |
| 1073945176 | Sarah Walker | Pharmacist | 410 10th Street Se, Suite 8, Jamestown, ND 58401 | 2013-07-31 |
| 1811339369 | Yvette D Patrick | Occupational Therapist | 207 2nd Avenue Se, Jamestown, ND 58401 | 2013-07-25 |
| 1144582933 | Anne Carlsen Center | Intermediate Care Facility, Mentally Retarded | 701 3rd Steeet Nw, Jamestown, ND 58401 | 2012-06-08 |
| 1407008360 | Jacob Dale Reinarts | Counselor | 2504 Circle Dr # 58401, Jamestown, ND 58401 | 2008-10-22 |
| 1548426430 | Shipley Basic Care | Alzheimer Center (Dementia Center) | 1505 3 St Se, Jamestown, ND 58401 | 2008-07-31 |
| 1831384445 | Drake Counseling Services | Clinic/Center | 1210 13th Ave Sw, Jamestown, ND 58401 | 2007-09-07 |
| Find all providers in zip 58401 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316117542 | Anne Carlsen Center | Clinic/Center | 701 3rd St Nw, Jamestown, ND 58401-2963 | 2008-03-04 |
| 1811050214 | Chautauqua County Chapter of Nysarc Inc. | Clinic/Center | 75 Jones and Gifford Ave, Jamestown, NY 14701-2828 | 2006-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457521155 | Tri City Cares, Inc | Clinic/Center | 15 1st St Se, Stanley, ND 58784 | 2008-03-10 |
| 1821268517 | Tri City Care, Inc | Clinic/Center | 723 1st St Sw, Stanley, ND 58784 | 2008-03-10 |
| 1669642369 | Tri City Cares, Inc | Clinic/Center | 415 7th Ave Se, Stanley, ND 58784 | 2008-03-10 |
| 1982800959 | Tri City Cares, Inc. | Clinic/Center | 15 1st Street Se, Stanley, ND 58784 | 2007-06-26 |
| 1730212325 | Children's Development Center, Inc. | Clinic/Center | 1815 Schafer St, Ste 202, Bismarck, ND 58501-1217 | 2007-03-13 |
| 1245284850 | Southeast Human Service Center | Clinic/Center | 2624 9th Ave S, Fargo, ND 58103-2350 | 2006-05-19 |
| 1205293537 | Jmb Services Inc | Clinic/Center | 1911 N 11th St, Bismarck, ND 58501-1915 | 2016-01-17 |
| 1336454438 | Susan Delap, Md, Professional Corporation | Clinic/Center | 4023 State St, Suite 100, Bismarck, ND 58503-0690 | 2010-08-12 |
| 1902076607 | Tri City Care, Inc | Clinic/Center | 15 1st Ave Se, Stanley, ND 58784-9998 | 2008-03-10 |
| 1285804906 | Tri City Care, Inc | Clinic/Center | 15 1st St Se, Stanley, ND 58784 | 2008-03-10 |
| Find all providers with the same taxonomy | ||||
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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.