ADAMS COUNTY SOCIAL SERVICE BOARD (NPI# 1467874149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467874149 |
| Entity Type | Organization |
| Organization Name | ADAMS COUNTY SOCIAL SERVICE BOARD |
| Practice Address |
609 2nd Ave N Hettinger ND 58639-7449 |
| Mailing Address |
609 2nd Ave N Po Box 550 Hettinger ND 58639-7449 |
| Practice Telephone | 7015672967 |
| Practice Fax Number | 7015672498 |
| Mailing Telephone | 7015672967 |
| Mailing Fax Number | 7015672498 |
| Enumeration Date | 2014-01-14 |
| Last Update Date | 2014-01-14 |
| Authorized Official Name | CHERYL DIX (DIRECTOR) |
| Authorized Official Telephone | 7015672967 |
| Authorized Official Credential | LSW |
| Is Organization Subpart | Y |
| Parent Organization Name | COUNTY OF ADAMS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | 0000000000000 | ND | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 000038801 | 05 | |
| ND | 000050711 | 05 |
| Street Address |
609 2ND AVE N |
| City | HETTINGER |
| State | ND |
| Zip Code | 58639-7449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649677220 | Liane Ruhland | Social Worker | 609 2nd Ave N, Hettinger, ND 58639-0550 | 2014-11-26 |
| 1942623145 | Jodi Lindquist | Social Worker | 609 2nd Ave N, Hettinger, ND 58639-7449 | 2014-01-24 |
| 1942622519 | Jacqueline Kling | Social Worker | 609 2nd Ave N, Hettinger, ND 58639-7449 | 2014-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215149984 | Mitchell C. Schultz | Pharmacist | 105 6th St Se, Hettinger, ND 58639 | 2007-05-04 |
| 1861612111 | Gary William Dewhirst | Pharmacist | 305 13th St S, Hettinger, ND 58639 | 2007-04-27 |
| 1871017616 | Lesley D Kling | Nurse Practitioner | 1000 Highway 12, Hettinger, ND 58639 | 2017-08-02 |
| 1144315441 | John P Joyce | Family Medicine | 1000 Highway 12, Hettinger, ND 58639 | 2006-10-03 |
| 1801981451 | Brian G Willoughby | Internal Medicine | 1000 Highway 12, Hettinger, ND 58639 | 2006-10-03 |
| 1023103421 | William C Elder | Surgery | 1000 Highway 12, Hettinger, ND 58639 | 2006-10-03 |
| 1437244043 | Steven C Kilwein | Podiatrist | 1000 Highway 12, Hettinger, ND 58639 | 2006-10-03 |
| 1427142017 | Joseph M Mattson | Family Medicine | 1000 Highway 12, Hettinger, ND 58639 | 2006-10-03 |
| 1053405662 | Thomas E Jacobsen | Family Medicine | 1000 Highway 12, Hettinger, ND 58639 | 2006-10-03 |
| 1457445892 | Terrance R Mack | Family Medicine | 1000 Highway 12, Hettinger, ND 58639 | 2006-10-02 |
| Find all providers in zip 58639 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891300794 | Heather Leier | Case Manager/Care Coordinator | 101 16th St Sw, Minot, ND 58701-3463 | 2020-09-09 |
| 1659913879 | Christine Lawson | Case Manager/Care Coordinator | 531 W Villard St, Dickinson, ND 58601-5044 | 2019-10-09 |
| 1912549130 | Emily Gran | Case Manager/Care Coordinator | 531 W Villard St Ste 1, Dickinson, ND 58601-5044 | 2019-10-09 |
| 1821639899 | Brooke Peacock | Case Manager/Care Coordinator | 1008 4th Ave, Apt 116, Watford City, ND 58854-5885 | 2019-10-01 |
| 1104467174 | Fallon Kirby Maston | Case Manager/Care Coordinator | 1008 4th Ave Se Apt 116, Watford City, ND 58854-7732 | 2019-10-01 |
| 1942854260 | Johnita Whyte | Case Manager/Care Coordinator | 225 3rd St Se Fl 3, Minot, ND 58701-3958 | 2019-07-25 |
| 1225597750 | Missi Baranko | Case Manager/Care Coordinator | 4758 92nd Ave Sw, Richardton, ND 58652-9710 | 2019-03-14 |
| 1194216481 | Richard Yonick | Case Manager/Care Coordinator | South Central Human Service Center, 520 3rd St Nw, Jamestown, ND 58401 | 2018-05-23 |
| 1972092757 | William David Nix | Case Manager/Care Coordinator | 102 Main Ave W, Rolla, ND 58367 | 2018-05-07 |
| 1245748649 | Alissa Lynn Parsons | Case Manager/Care Coordinator | Chase Building, 2nd Floor, 516 Cooper Avenue, Grafton, ND 58237 | 2018-01-19 |
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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.