GOOD ROAD RECOVERY CENTER (NPI# 1629544267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629544267 |
| Entity Type | Organization |
| Organization Name | GOOD ROAD RECOVERY CENTER |
| Practice Address |
1308 Elbowood Ln Bismarck ND 58503-5712 |
| Practice Telephone | 7017518260 |
| Mailing Telephone | 7017518260 |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2018-10-22 |
| Authorized Official Name | SHERRY MICHELLE BAKER (BILLING SPECIALIST) |
| Authorized Official Telephone | 7017518260 |
| Authorized Official Credential | CPC |
| Is Organization Subpart | Y |
| Parent Organization Name | THREE AFFILIATED TRIBES CENTRAL FINANCE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| N | 177F00000X | Lodging | Other Service Providers | ||
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 174200000X | Meals | Other Service Providers | ||
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Three Affiliated Tribes Central Finance | Other Name - Individual/Organization |
| Street Address |
1308 ELBOWOOD LN |
| City | BISMARCK |
| State | ND |
| Zip Code | 58503-5712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598202624 | Michelle Marie Richter | Counselor | 1308 Elbowood Ln, Bismarck, ND 58503-5712 | 2017-01-26 |
| 1316422447 | Brandie Delorme | Counselor | 1308 Elbowood Ln, Bismarck, ND 58503-5712 | 2018-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356951503 | Community Options for Residential and Employment Services, Inc | Community/Behavioral Health | 4909 Shelburne St, Bismarck, ND 58503 | 2020-08-03 |
| 1104460476 | Brittany Lee Feil | Registered Nurse | 808 N Washington St., Bismarck, ND 58503 | 2019-10-30 |
| 1760030670 | Rachel Lees | Technician | 1727 Valley Drive, Bismark, ND 58503 | 2019-09-04 |
| 1700444619 | St Alexius Medical Center | Non-Pharmacy Dispensing Site | 807 East Main Suite A, Bismarck, ND 58503 | 2019-06-05 |
| 1881162972 | White Drug Co of Jamestown Inc | Pharmacy | 900 Ne 43rd Ave, Bismarck, ND 58503 | 2018-11-06 |
| 1104347137 | Adapt, Inc. | Counselor | 1720 Burnt Boat Drive, Suite 108, Bismarck, ND 58503 | 2017-06-29 |
| 1679010953 | Optimum Therapies of North Dakota, Inc | Physical Therapist | 4204 Boulder Ridge Rd, Suite 100, Bismarck, ND 58503 | 2017-01-25 |
| 1972954162 | Ava Burckhard | Speech-Language Pathologist | 4501 Coleman St N Suite #103, Pediatric Therapy Partners, Bismarck, ND 58503 | 2016-06-29 |
| 1306292842 | Margaret Williams | Nurse Practitioner | 4315 Ottawa St, Bismarck, ND 58503 | 2016-05-13 |
| 1649638958 | Horizon Chiropractic & Wellness PC | Chiropractor | 4535 Northern Sky Dr., Bismarck, ND 58503 | 2016-02-01 |
| Find all providers in zip 58503 | ||||
| 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 |
|---|---|---|---|---|
| 1265660187 | West Central Human Service Center | Substance Abuse Rehabilitation Facility | 412 Birchwood Dr, Bismarck, ND 58504-6209 | 2009-06-30 |
| 1437283587 | New Freedom Center | Substance Abuse Rehabilitation Facility | 905 E Interstate Ave, Bismarck, ND 58503-0549 | 2007-03-14 |
| 1134774110 | Whitney Marie Clapp | Substance Abuse Rehabilitation Facility | 905 E Interstate Ave, Bismarck, ND 58503-0549 | 2019-08-06 |
| 1467819664 | Tracy Ochsner | Substance Abuse Rehabilitation Facility | 101 E Broadway Ave, Bismarck, ND 58501-3840 | 2016-01-20 |
| 1679697668 | Pathways To Freedom | Substance Abuse Rehabilitation Facility | 208 E Main Ave, Bismarck, ND 58501-3848 | 2007-03-17 |
| 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 |
| 1306308101 | Summit Silver Creek, LLC | Substance Abuse Rehabilitation Facility | 2046 125th Ave, Watford City, ND 58854 | 2019-04-02 |
| 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 |
| 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 |
| 1619035276 | Sister's Path | Substance Abuse Rehabilitation Facility | 4219 9th Ave S, Fargo, ND 58103-2018 | 2006-12-05 |
| 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.