RURAL MENTAL HEALTH CONSORTIUM (NPI# 1679597264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679597264 |
| Entity Type | Organization |
| Organization Name | RURAL MENTAL HEALTH CONSORTIUM |
| Practice Address |
317 1st Ave Nw Kenmare ND 58746-7104 |
| Mailing Address |
Po Box 697 317 1st Ave Nw Kenmare ND 58746-0697 |
| Practice Telephone | 7013854344 |
| Practice Fax Number | 7013854295 |
| Mailing Telephone | 7013854344 |
| Mailing Fax Number | 7013854295 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2014-05-07 |
| Authorized Official Name | MS. HEATHER A NELSON (BUSINESS MANAGER) |
| Authorized Official Telephone | 7013854344 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 10711 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | RURAL MENTAL HEALTH CONSORTIUM | 115 2nd St Nw, Kenmare, ND 58746 |
| Street Address |
317 1ST AVE NW |
| City | KENMARE |
| State | ND |
| Zip Code | 58746-7104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740302371 | Trinity Kenmare Hospital | General Acute Care Hospital | 317 1st Ave Nw, Kenmare, ND 58746 | 2007-04-04 |
| 1356462709 | Trinity Kenmare Hospital | Skilled Nursing Facility | 317 1st Ave Nw, Kenmare, ND 58746 | 2007-04-03 |
| 1366597650 | Trinity Kenmare Hospital | General Acute Care Hospital | 317 1st Ave Nw, Kenmare, ND 58746 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912137449 | Olubukola O Oni | Family Medicine | 309 1st Ave W, Kenmare, ND 58746 | 2009-07-17 |
| 1932392693 | Jesse M Sabiiti | Internal Medicine | 307 1st Ave. Nw, Kenmare, ND 58746 | 2007-08-24 |
| 1619171006 | Jackie Lynn Pabian | Physical Therapist | 317 1st Ave. Nw, Kenmare, ND 58746 | 2007-06-12 |
| 1497962393 | City of Kenmare | Ambulance | 311 North Central Ave, Kenare, ND 58746 | 2007-05-17 |
| 1447357785 | Rosann L Gottbreht | Nurse Practitioner | 307 1st Ave. N.w., Kenmare, ND 58746 | 2006-09-20 |
| 1457769994 | Kenmare Wheels & Meals, Inc. | Non-emergency Medical Transport (VAN) | 221 North Central Avenue, Kenmare, ND 58746-0481 | 2014-07-29 |
| 1730276619 | Eric M Ganes | Dentist | 318 1st Ave Ne, Kenmare, ND 58746-0638 | 2006-10-10 |
| 1164677399 | Kenmare Dental Clinic | Dentist | 318 1st Ave Ne, Kenmare, ND 58746-0638 | 2008-12-02 |
| 1649226671 | Trinity Kenmare Hospital | Clinic/Center | 307 1st Ave Nw, Kenmare, ND 58746-7104 | 2006-05-25 |
| 1518445956 | Robert Daniel Saxon | Nurse Practitioner | 307 1st Ave Nw, Kenmare, ND 58746-7104 | 2018-07-28 |
| Find all providers in zip 58746 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831607910 | Creative Journey, LLC | Clinic/Center | 429 2nd St Sw Ste 205, Jamestown, ND 58401 | 2018-01-11 |
| 1225542988 | Rural Cass Special Services | Clinic/Center | 55 1st Ave S, Kindred, ND 58051-4027 | 2017-11-16 |
| 1750856761 | Opportunity Foundation Inc | Clinic/Center | 15 1st Ave Se, Stanley, ND 58784-9065 | 2018-10-05 |
| 1477937258 | Child & Adolescent Psychological Services, Inc. | Clinic/Center | 1705 4th Ave Nw, Minot, ND 58703-2912 | 2015-07-12 |
| 1720413461 | April Wilson-warren Np-c Pllc | Clinic/Center | 315 Main St S Ste 301, Minot, ND 58701-3956 | 2013-09-12 |
| 1891069191 | St. James' of North Dakota, LLC | Clinic/Center | 1007 4th Ave S, Wishek, ND 58495-7527 | 2012-03-05 |
| 1538463401 | St James of Nd, LLC | Clinic/Center | 3000 North 14th Street, Suite 2a, Bismarck, ND 58503 | 2011-01-06 |
| 1225075906 | South Central Human Service Center | Clinic/Center | 520 3rd St Nw, Jamestown, ND 58401 | 2006-06-01 |
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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.