FAA ADDICTION SERVICES


Address: 900 N Broadway Ste 111, Minot, ND 58703-2378
Phone: 7015374191

FAA ADDICTION SERVICES (NPI# 1659926681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659926681
Entity Type Organization
Organization Name FAA ADDICTION SERVICES
Practice Address 900 N Broadway Ste 111
Minot
ND 58703-2378
Practice Telephone 7015374191
Mailing Telephone 7015374191
Enumeration Date 2019-08-06
Last Update Date 2020-02-05
Authorized Official Name SHONDELL GANTZER (OFFICE MANAGER)
Authorized Official Telephone 7017202964
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
ND 159488 05

Office Location

Street Address 900 N BROADWAY STE 111
City MINOT
State ND
Zip Code 58703-2378

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376197673 Kathryn Gallagher Social Worker Minot Air Force Base, Apo, AA 58703 2019-07-25
1720527120 North Hill Pharmacy LLC Pharmacy 2111 Landmark Cir Nw Ste C, Minot, ND 58703 2017-02-17
1881138238 Ashley A Beeter, Pmh-dnp Nurse Practitioner 24 North Main Street, Suite K, Minot, ND 58703 2016-12-05
1851768501 Apex Chiropractic Chiropractor 1500 21st Ave Nw, Suite 105, Minot, ND 58703 2015-08-28
1033404546 Kayla R Lambrecht Physical Therapist 2111 Landmark Cir Nw # B, Minot, ND 58703 2011-06-13
1265684062 Minot Dentistry PC Dentist 600-22nd Ave Nw, Minot, ND 58703 2008-10-13
1073529350 Orvin G. Lommen Social Worker #9 Cortland Drive, Minot, ND 58703 2006-07-31
1306872478 James Christopher Everett Chiropractor 2217 16th Street Nw, Minot, ND 58703 2006-06-23
1760917975 Derek Cluff Dentist 194 Missle Ave, Minot Afb, ND 58703 2017-04-25
1750701280 Mary J Solberg Social Worker 1705 4th Ave Nw, Minot, ND 58703 2014-04-23
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184235053 Teal Nelson Counselor 515 19th Ave Se, Minot, ND 58701-6634 2020-08-13
1780207647 Growing Together Inc Counselor 515 19 Ave Sw, Minot, ND 58701 2020-05-26
1740814045 Lisa Marie Voeller Counselor 1905 2nd St Se Ste 18, Minot, ND 58701-6566 2020-02-25
1194358366 Robert M Hayes Counselor 7 3rd St Se Ste 109, Minot, ND 58701-3916 2020-02-17
1073000469 Goodman Addiction Services Counselor 1809 South Broadway Suite S., Minot, ND 58701 2018-04-20
1356792816 Community Medical Services Montana-private, LLC Counselor 300 30th Ave Nw Ste D, Minot, ND 58703-0611 2016-06-27
1851653430 Amber Ann Twogood Counselor 1015 South Broadway Suite 18, Minot, ND 58701-4667 2012-06-11
1568577617 Teri E Lendzion Counselor 400 22nd Ave Nw, Minot, ND 58703-1031 2006-08-20
1679504575 Vicki A Jones Counselor 1809 S Broadway Ste S, Minot, ND 58701-6567 2006-07-06
1871104711 Rodney James Nogosek Counselor 407 3rd St Se, Minot, ND 58701-4470 2020-08-13
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Competitor

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City MINOT
Zip Code 58703

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Dataset Information

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.

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