JOSEPH MCGILLIS (NPI# 1972615268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972615268 |
Entity Type | Individual |
Full Name | JOSEPH MCGILLIS |
Credential | LAC |
Practice Address |
331 4th Ave E Trenton ND 58853-9998 |
Mailing Address |
Po Box 2182 Williston ND 58802-2182 |
Practice Telephone | 7017740461 |
Practice Fax Number | 7017748003 |
Mailing Telephone | 7017740461 |
Mailing Fax Number | 7017748003 |
Enumeration Date | 2006-08-31 |
Last Update Date | 2007-07-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
3048 | ND | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ND | 1312 | 05 | |
ND | BC/BS OF ND PROVIDER NUM. | 26735 | 01 |
Street Address |
331 4TH AVE E |
City | TRENTON |
State | ND |
Zip Code | 58853-9998 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881626422 | Patricia Ann Blomquist | Physician Assistant | 331 4th Ave E, Trenton, ND 58853-9998 | 2006-07-06 |
1912387630 | Trenton Indian Service Area | Clinic/Center | 331 4th Ave E, Trenton, ND 58853-9998 | 2015-06-08 |
1609271725 | Trenton Indian Service Area | Clinic/Center | 331 4th Ave E, Trenton, ND 58853-0210 | 2014-10-31 |
1306286448 | Brandy Anne Shahin | Nurse Practitioner | 331 4th Ave E, Trenton, ND 58853-9998 | 2013-07-03 |
1053644492 | Lisa M Cohoe | Dentist | 331 4th Ave E, Trenton, ND 58853-9998 | 2009-09-17 |
1760653208 | Tina Rabenberg Falcon | Licensed Practical Nurse | 331 4th Ave E, Trenton, ND 58853-9998 | 2008-03-12 |
1952572406 | Cynthia V Gardner | Licensed Practical Nurse | 331 4th Ave E, Trenton, ND 58853-9998 | 2008-03-12 |
1396916847 | Gregory Allen Bender | Registered Nurse | 331 4th Ave E, Trenton, ND 58853-9998 | 2008-03-12 |
1720259260 | Jennifer Lea Schroeder | Registered Nurse | 331 4th Ave E, Trenton, ND 58853-9998 | 2008-03-12 |
1669684825 | Abredeen Area Tribal Chairmans Health Board | Private Vehicle | 331 4th Ave E, Building 3, Trenton, ND 58853-9998 | 2007-05-03 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558400598 | Dorothy Kay Collette-gjorven | Pharmacist | Main St, Trenton, ND 58853 | 2007-02-06 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
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1407213101 | Mardia Joy-earth Garresen | Counselor | 14 Hobart Ave, Trenton, NJ 08629-1730 | 2016-01-26 |
1124433537 | Jason Gearheart | Counselor | 1456 Hamilton Ave, Trenton, NJ 08629-1447 | 2014-06-24 |
1053721555 | Nicole A. Glover | Counselor | 910 Bellevue Ave, Trenton, NJ 08618-4450 | 2014-05-06 |
1891116646 | Ameen Hasan Abdullah | Counselor | 132 Perry St., Trenton, NJ 08618 | 2013-12-20 |
1275967762 | Carmen Lynn Hodges | Counselor | 17 Bradford Ave Apt 13, Trenton, NJ 08610-3107 | 2013-09-03 |
1992139638 | Traver Stewart | Counselor | 3020 Nc Highway 58 N, Trenton, NC 28585-9574 | 2013-08-29 |
1285913681 | Karen Suzanne Murphy | Counselor | 100 Scotch Rd., Trenton, NJ 08628 | 2011-08-16 |
1295875557 | Scott Smiley | Counselor | 737 Laneview Concord Rd, Trenton, TN 38382 | 2007-02-07 |
Find all providers in TRENTON |
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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.