NORTH CENTRAL HUMAN SERVICE CENTER (NPI# 1477592533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477592533 |
| Entity Type | Organization |
| Organization Name | NORTH CENTRAL HUMAN SERVICE CENTER |
| Practice Address |
1015 S Broadway Ste 18 Minot ND 58701-4667 |
| Practice Telephone | 7018578500 |
| Practice Fax Number | 7018578555 |
| Mailing Telephone | 7018578500 |
| Mailing Fax Number | 7018578555 |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2014-05-15 |
| Authorized Official Name | MRS. LAURIE GOTVASLEE (DIRECTOR) |
| Authorized Official Telephone | 7018578500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
1011 | ND | Ambulatory Health Care Facilities |
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
1011 | ND | Ambulatory Health Care Facilities |
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
1011 | ND | Ambulatory Health Care Facilities |
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
1011 | ND | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 054517 | 05 | |
| ND | BCBS OF ND | 2380001 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346761442 | North Central Human Service Center | Community/Behavioral Health | 1015 S Broadway Ste 18, Minot, ND 58701-4667 | 2017-06-29 |
| Street Address |
1015 S BROADWAY STE 18 |
| City | MINOT |
| State | ND |
| Zip Code | 58701-4667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557257 | Oliver D Hopkins | Technician, Other | 1015 S Broadway Ste 18, Minot, ND 58701-4667 | 2020-10-30 |
| 1386244200 | Hannah N S Arne | Technician, Other | 1015 S Broadway Ste 18, Minot, ND 58701-4667 | 2020-10-29 |
| 1790384097 | Emily Score | Social Worker | 1015 S Broadway Ste 18, Minot, ND 58701-4667 | 2020-10-19 |
| 1043821739 | Amanda J Folk | Case Manager/Care Coordinator | 1015 S Broadway Ste 18, Minot, ND 58701-4667 | 2020-08-14 |
| 1609494467 | Jennah S Haygood | Technician, Other | 1015 S Broadway Ste 18, Minot, ND 58701-4667 | 2020-07-08 |
| 1891312138 | Caroline Drohan | Technician, Other | 1015 S Broadway Ste 18, Minot, ND 58701-4667 | 2020-07-02 |
| 1902423809 | Summer Denise Taylor | Social Worker | 1015 S Broadway Ste 18, Minot, ND 58701-4667 | 2020-06-26 |
| 1558988436 | Mckenzie M Lundy | Case Manager/Care Coordinator | 1015 S Broadway Ste 18, Minot, ND 58701-4667 | 2020-06-26 |
| 1871114751 | Saul Horowitz | Technician, Other | 1015 S Broadway Ste 18, Minot, ND 58701-4667 | 2020-05-01 |
| 1558996207 | Kariss A Zeltinger | Social Worker | 1015 S Broadway Ste 18, Minot, ND 58701-4667 | 2020-03-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538767926 | Minot Commission On Aging, Inc | In Home Supportive Care | 21 1st Avenue Se, Minot, ND 58701 | 2020-10-16 |
| 1780207647 | Growing Together Inc | Counselor | 515 19 Ave Sw, Minot, ND 58701 | 2020-05-26 |
| 1144867847 | Sarah Howard | Registered Nurse | 1015 South Broadway, Ste. 2, Minot, ND 58701 | 2019-12-02 |
| 1962973453 | Julia Irene Lakoduk | Speech-Language Pathologist | Bell Elementary, 5901 Us-52, Minot, ND 58701 | 2018-12-10 |
| 1073000469 | Goodman Addiction Services | Counselor | 1809 South Broadway Suite S., Minot, ND 58701 | 2018-04-20 |
| 1811405988 | Mackenzie J Jones Pllc | Chiropractor | 1407 S Broadway Ste 123, Minot, ND 58701 | 2018-01-11 |
| 1265957617 | Cassandra Czerwonka | Behavioral Analyst | 1408 20th Ave Sw, Suite 7, Minot, ND 58701 | 2017-08-07 |
| 1689197493 | Rem North Dakota | Intermediate Care Facility, Mentally Retarded | 1905 2nd Street Se, Suite 1a, Minot, ND 58701 | 2017-07-24 |
| 1558890236 | Timothy J Corrigan | Chiropractor | 1418 S Broadway Ste C, Minot, ND 58701 | 2017-06-07 |
| 1265826036 | Premier Physical Therapy of North Dakota Pllc | Physical Therapist | 1715 South Broadway, Minot, ND 58701 | 2015-03-19 |
| Find all providers in zip 58701 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609492628 | Pathways To You Mental Health Counseling and Consulting LLC | Clinic/Center | 509 5th Ave Nw, Minot, ND 58703-2219 | 2020-06-25 |
| 1205229226 | Faye Weiss, Rn,cns,pc | Clinic/Center | 129 18th St. Sw, Minot, ND 58701 | 2015-03-16 |
| 1346305190 | Burckhard Clinic, P. C. | Clinic/Center | 315 Main St S Ste 315, Ste. 315, Minot, ND 58701-3956 | 2006-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447748918 | Chrysalis Behavioral Health Services and Training Center | Clinic/Center | 1620 16th Ave S, Fargo, ND 58103-4055 | 2018-04-30 |
| 1679597264 | Rural Mental Health Consortium | Clinic/Center | 317 1st Ave Nw, Kenmare, ND 58746-7104 | 2006-07-27 |
| 1669411930 | Lake Region Human Service Center | Clinic/Center | 200 Highway 2 W, Devils Lake, ND 58301-3532 | 2006-06-05 |
| 1568811552 | Danielle Skaar, Fnp-c, Pllc | Clinic/Center | 210 Highway 2 W Ste 10, Devils Lake, ND 58301-2913 | 2016-06-09 |
| 1447554316 | St. Gabriel's, LLC | Clinic/Center | 3137 32nd Ave S, Suite 223, Fargo, ND 58103-6159 | 2011-01-06 |
| 1336443654 | St. Sophie's, LLC | Clinic/Center | 3201 33rd St S, Fargo, ND 58104-8823 | 2010-12-29 |
| 1396915120 | Northport Medical Inc. | Clinic/Center | 2704 Broadway N, Suite C, Fargo, ND 58102-1487 | 2008-03-07 |
| 1649226713 | West Central Human Service Center | Clinic/Center | 1237 W Divide Ave, Ste 5, Bismarck, ND 58501 | 2006-05-26 |
| 1124072525 | Badlands Human Service Center | Clinic/Center | 300 13th Ave W Ste 1, Dickinson, ND 58601-4875 | 2006-05-20 |
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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.