NORTHWEST HUMAN SERVICE CENTER


Address: 316 2nd Ave W, Williston, ND 58801-5218
Phone: 7017744600

NORTHWEST HUMAN SERVICE CENTER (NPI# 1770524613) 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) 1770524613
Entity Type Organization
Organization Name NORTHWEST HUMAN SERVICE CENTER
Other Organization Name NWHSC
Practice Address 316 2nd Ave W
Williston
ND 58801-5218
Mailing Address Po Box 1266
Williston
ND 58802-1266
Practice Telephone 7017744600
Practice Fax Number 7017744620
Mailing Telephone 7017744600
Mailing Fax Number 7017744620
Enumeration Date 2006-06-10
Last Update Date 2014-05-15
Authorized Official Name MRS. LAURIE GOTVASLEE (DIRECTOR)
Authorized Official Telephone 7017744600
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
1172 ND Ambulatory Health Care Facilities
N 261QM0855X Clinic/Center
Specialization: Adolescent and Children Mental Health
1172 ND Ambulatory Health Care Facilities
N 261QR0405X Clinic/Center
Specialization: Rehabilitation, Substance Use Disorder
1172 ND Ambulatory Health Care Facilities
Y 261QM0850X Clinic/Center
Specialization: Adult Mental Health
1172 ND Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
ND BCBS OF ND 156001 01
ND 054516 05

Other Provider/Organization Names

Other Name Type Code
NWHSC Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1295255933 Northwest Human Service Center Community/Behavioral Health 316 2nd Ave W, Williston, ND 58801-5218 2017-06-23
1225051550 Northwest Human Service Center Day Training, Developmentally Disabled Services 316 2nd Ave W, Williston, ND 58801-5218 2006-07-26
1952322372 Northwest Human Service Center Clinic/Center 316 2nd Ave W, Williston, ND 58801-5218 2006-07-21

Office Location

Street Address 316 2ND AVE W
City WILLISTON
State ND
Zip Code 58801-5218

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811506215 Brandon Lee Hunter Counselor 316 2nd Ave W, Williston, ND 58801-5218 2020-07-31
1184246282 Teresa Book Case Manager/Care Coordinator 316 2nd Ave W, Williston, ND 58801-5218 2020-05-12
1245862549 Megan L Carson Case Manager/Care Coordinator 316 2nd Ave W, Williston, ND 58801-5218 2020-02-05
1295384477 Trisha Kutz Case Management 316 2nd Ave W, Williston, ND 58801-5218 2019-09-10
1417410275 Katherine Eick Counselor 316 2nd Ave W, Williston, ND 58801-5218 2019-04-09
1790267342 Samantha Titus Case Manager/Care Coordinator 316 2nd Ave W, Williston, ND 58801-5218 2018-08-30
1356846422 Angela Mathson Registered Nurse 316 2nd Ave W, Williston, ND 58801-5218 2018-03-29
1184129652 James Farrenkopf Case Manager/Care Coordinator 316 2nd Ave W, Williston, ND 58801-5218 2018-03-27
1053816512 Leah Leak Case Manager/Care Coordinator 316 2nd Ave W, Williston, ND 58801-5218 2018-03-27
1356846042 June Ralph Case Manager/Care Coordinator 316 2nd Ave W, Williston, ND 58801-5218 2018-03-26
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952868556 Purpose Driven Interventions Counselor 1502 13th Ave West, Williston, ND 58801 2019-03-01
1437637501 Camille Ann Settelmeyer Nurse Practitioner 1213 15th Avenue West, Williston, ND 58801 2018-08-01
1801317417 Shelby Laine Carlson Physical Therapist 1502 13th Ave W Suite 101, Williston, ND 58801 2017-07-05
1710418579 Catrina Louise Lindvig Chiropractor 1135 2nd Ave W Ste 203, Williston, ND 58801 2017-03-23
1801337415 Selah Counseling Clinic/Center 125 Main St, Suite #220, Williston, ND 58801 2017-03-15
1316485634 Theresa E Scully Social Worker 125 Main St; Unit 220, Williston, ND 58801 2017-02-07
1346792256 Donna Peterson Social Worker 1500 14th St Sw, Suite 250, Williston, ND 58801 2016-10-26
1730509084 Lacey Thompson Case Manager/Care Coordinator 110 West Broadway, Suite 202, Williston, ND 58801 2014-04-24
1770904708 Kayla Jo Rossland Physical Therapist 221 University Ave Ste 203, Williston, ND 58801 2013-12-17
1285072710 Susan Mae Bradford Counselor 612 4th St. E., Williston, ND 58801 2013-06-06
Find all providers in zip 58801

Taxonomy Information

Taxonomy Code 261QM0850X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Mental Health

Taxonomy Definition

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]

Providers in the same taxonomy and state

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
1447748918 Chrysalis Behavioral Health Services and Training Center Clinic/Center 1620 16th Ave S, Fargo, ND 58103-4055 2018-04-30
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
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
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Competitor

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City WILLISTON
Zip Code 58801

Improve Information

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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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