SUMMIT SILVER CREEK, LLC (NPI# 1306308101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306308101 |
| Entity Type | Organization |
| Organization Name | SUMMIT SILVER CREEK, LLC |
| Practice Address |
2046 125th Ave Watford City ND 58854 |
| Practice Telephone | 7325801732 |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2019-04-02 |
| Authorized Official Name | MATTHEW D'ALESSANDRO (MANAGING PARTNER) |
| Authorized Official Telephone | 7325801732 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Street Address |
2046 125TH AVE |
| City | WATFORD CITY |
| State | ND |
| Zip Code | 58854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548716285 | Mckenzie County Social Services | Case Management | 201 5th St. Nw, Ste. 790, Watford City, MS 58854 | 2016-09-01 |
| 1275923450 | Jennifer Fleck | Nurse Practitioner | 118 8th Street Ne, Watford City, ND 58854 | 2015-01-27 |
| 1437497625 | Aaron Burke Patchen | Chiropractor | 105 9th Ave Se, Ste 3, Watford City, ND 58854 | 2013-01-22 |
| 1164703559 | Narek Ovsepian | Dentist | 324 3rd St Nw, Watford City, ND 58854 | 2011-08-30 |
| 1861614489 | Marilyn Beth Pierce | Physical Therapist | 3272 127th Avenue Nw, Watford City, ND 58854 | 2007-05-03 |
| 1710063771 | Gary L Trauger | Chiropractor | 105 2nd Ave Ne, Watford City, ND 58854 | 2006-10-31 |
| 1518056142 | Mckenzie County Ambulance Service | Ambulance | 204 3rd Ave Ne, Watford City, ND 58854 | 2006-10-12 |
| 1427079854 | Mckenzie County Healthcare Systems Inc | Medicare Defined Swing Bed Unit | 516 North Main Street, Watford City, ND 58854 | 2006-07-21 |
| 1184645533 | Gary W Ramage | General Practice | 525 North Main Street, Watford City, ND 58854 | 2006-07-21 |
| 1477722262 | Matthew John Hjelden | Audiologist | 109 5th St Sw, Watford City, ND 58854 | 2008-02-26 |
| Find all providers in zip 58854 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730703984 | Turtle Mountain Band of Chippewa Indians | Substance Abuse Rehabilitation Facility | 1105 Sheldon Souray Avenue, Belcourt, ND 58316-0520 | 2020-06-03 |
| 1447736780 | Advance In Recovery, Pllc | Substance Abuse Rehabilitation Facility | 1206 Main St, Carrington, ND 58421-1902 | 2018-07-18 |
| 1003367103 | Medicine Horse Counseling, Pllc | Substance Abuse Rehabilitation Facility | 10435 63rd Ave Ne, Rocklake, ND 58365-9517 | 2016-10-24 |
| 1598079394 | Jessica Ann Brown | Substance Abuse Rehabilitation Facility | 1202 23rd St S, Fargo, ND 58103-2951 | 2010-08-04 |
| 1255656765 | Transitional Living Center Inc | Substance Abuse Rehabilitation Facility | 4399 88th Ave Ne, Devils Lake, ND 58301-8704 | 2010-03-29 |
| 1235452921 | New Beginnings Recovery Center | Substance Abuse Rehabilitation Facility | 693 5th Ave Sw, Dickinson, ND 58601-5808 | 2010-03-09 |
| 1265660187 | West Central Human Service Center | Substance Abuse Rehabilitation Facility | 412 Birchwood Dr, Bismarck, ND 58504-6209 | 2009-06-30 |
| 1356576979 | Sharehouse Genesis | Substance Abuse Rehabilitation Facility | 505 40th St S Unit B, Fargo, ND 58103-1184 | 2009-05-27 |
| 1366681918 | Prairie St. John's, LLC | Substance Abuse Rehabilitation Facility | 510 4th St. South, Fargo, ND 58103 | 2009-02-05 |
| 1437283587 | New Freedom Center | Substance Abuse Rehabilitation Facility | 905 E Interstate Ave, Bismarck, ND 58503-0549 | 2007-03-14 |
| Find all providers with the same taxonomy | ||||
| City | WATFORD CITY |
| Zip Code | 58854 |
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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.