DAKOTA BOYS & GIRLS RANCH ASSOCATION (NPI# 1831271808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831271808 |
| Entity Type | Organization |
| Organization Name | DAKOTA BOYS & GIRLS RANCH ASSOCATION |
| Other Organization Name | DAKOTA BOYS RANCH FARGO YOUTH HOME |
| Practice Address |
6301 19th Ave Nw Minot ND 58703 |
| Mailing Address |
1641 31st Ave S Fargo ND 58103-5934 |
| Practice Telephone | 7018580115 |
| Mailing Telephone | 7018580115 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2007-11-01 |
| Authorized Official Name | SHONDELL GANTZER (BOOKKEEPER) |
| Authorized Official Telephone | 7018580115 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | ND | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | BLUE SHIELD | 244003 | 01 |
| ND | 54715 | 05 |
| Other Name | Type Code |
|---|---|
| Dakota Boys Ranch Fargo Youth Home | Doing Business As Name - Organization |
| Street Address |
6301 19TH AVE NW |
| City | MINOT |
| State | ND |
| Zip Code | 58703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376501262 | Dakota Boys & Girls Ranch Association | Psychiatric Residential Treatment Facility | 6301 19th Ave Nw, Minot, ND 58703-8824 | 2006-05-02 |
| 1154967016 | Matthew Stewart Baumgartner | Counselor | 6301 19th Ave Nw, Minot, ND 58703-8899 | 2019-11-25 |
| 1568922490 | Randall Lee | Counselor | 6301 19th Ave Nw, Minot, ND 58703-8899 | 2019-03-25 |
| 1740769496 | Taylor Keller | Counselor | 6301 19th Ave Nw, Minot, ND 58703-8899 | 2018-08-13 |
| 1538600127 | Kelsey Kozel | Case Manager/Care Coordinator | 6301 19th Ave Nw, Minot, ND 58703-8899 | 2017-03-15 |
| 1861946725 | Dinell Polsfut | Social Worker | 6301 19th Ave Nw, Minot, ND 58703-8899 | 2016-08-09 |
| 1255885299 | Austin Larsen | Case Manager/Care Coordinator | 6301 19th Ave Nw, Minot, ND 58703-8899 | 2016-08-08 |
| 1760890388 | Ashley Lauren Hebbard | Social Worker | 6301 19th Ave Nw, Minot, ND 58703-8899 | 2014-07-28 |
| 1689000432 | Connie Rod | Counselor | 6301 19th Ave Nw, Minot, ND 58703-8899 | 2013-09-24 |
| 1700212818 | Sandra M Lanz | Social Worker | 6301 19th Ave Nw, Minot, ND 58703-8899 | 2013-09-20 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 58703 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750467999 | Dakota Boys & Girls Ranch Association | Residential Treatment Facility, Emotionally Disturbed Children | 6301 19th Ave Nw, Minot, ND 58703 | 2006-10-31 |
| 1669558805 | Dakota Boys & Girls Ranch Association | Residential Treatment Facility, Emotionally Disturbed Children | 6301 19th Ave Nw, Minot, ND 58703 | 2006-10-31 |
| 1386729176 | Dakota Boys & Girls Ranch | Residential Treatment Facility, Emotionally Disturbed Children | 6301 19th Ave Nw, Minot, ND 58703 | 2006-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306395538 | Serenity Christian Homes | Residential Treatment Facility, Emotionally Disturbed Children | 1111 Prairie Pkwy, West Fargo, ND 58078-3132 | 2016-09-29 |
| 1114059805 | Home On The Range | Residential Treatment Facility, Emotionally Disturbed Children | 16351 I94, Sentinel Butte, ND 58654-9500 | 2007-03-09 |
| 1154405983 | Prairie Learning Center | Residential Treatment Facility, Emotionally Disturbed Children | 7785 Saint Gertrude Ave, Raleigh, ND 58564-4103 | 2006-10-25 |
| 1346351475 | Pride Manchester Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1200 Missouri Ave, Bismarck, ND 58504-5264 | 2006-08-31 |
| 1891808978 | Northeast Human Service Center | Residential Treatment Facility, Emotionally Disturbed Children | 151 S 4th St Ste 401, Grand Forks, ND 58201-4715 | 2006-08-16 |
| 1346732773 | Serenity Christian Homes Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1111 Prairie Pkwy, West Fargo, ND 58078-3132 | 2018-06-01 |
| 1568916989 | Pride Manchester Hope Home Inc | Residential Treatment Facility, Emotionally Disturbed Children | 7301 Keepsake Ln, Bismarck, ND 58501-8664 | 2016-08-15 |
| 1225217300 | Harmony House | Residential Treatment Facility, Emotionally Disturbed Children | 1601 College Dr N, C/o Sports Center, Devils Lake, ND 58301-1550 | 2007-10-25 |
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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.