North Dakota State Hospital in Jamestown - Rehabilitation, Substance Use Disorder
North Dakota State Hospital - NPI 1649227075
North Dakota State Hospital is a Rehabilitation, Substance Use Disorder in Jamestown, North Dakota. North Dakota State Hospital practices all healthcare services and medical treatments related to Rehabilitation, Substance Use Disorder. The NPI Number for North Dakota State Hospital is 1649227075. The last update date is 2020-12-10.
North Dakota State Hospital's current location address is 2605 Circle Dr, Jamestown, North Dakota. You can contact this provider via phone number 7012533964 and fax number 7012533999. The mailing address for North Dakota State Hospital is 2605 Circle Dr, Jamestown, North Dakota. To know further, please read the information below!
Provider Profile Detail
Provider Organization | North Dakota State Hospital |
---|---|
Address | 2605 Circle Dr, Jamestown, North Dakota |
Phone Number | 7012533964 |
Fax Number | 7012533999 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | ASSISTANT |
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Authorized Official Name | Aukland Donna |
Telephone Number | 7013284924 |
NPI Number Detail
NPI Number | 1649227075 |
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Provider Enumeration Date | 2006-05-30 |
Last Updated Date | 2020-12-10 |
Provider Mailing Address Detail
Address | 2605 Circle Dr |
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City | Jamestown |
State | North Dakota (ND) |
Post Code | 584016905 |
Phone Number | 7012533964 |
Fax Number | 7012533999 |
Provider's Primary Taxonomy Detail
Speciality | Rehabilitation, Substance Use Disorder |
---|---|
Taxonomy | 261Qr0405X |
Definition: Provides therapeutic interventions to treat alcohol and drug addiction. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
85001 | ND | BLUE SHIELD | |
1086 | ND | -- | |
802 | ND | BLUE CROSS |
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What is the unique provider identifier assigned to North Dakota State Hospital?
The North Dakota State Hospital has been issued the NPI (National Provider Identifier) 1649227075 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of North Dakota State Hospital?
The North Dakota State Hospital is situated at 2605 Circle Dr, in the city of Jamestown, state of ND, with the zip code 584016905.
What is North Dakota State Hospital's specialized field of practice, and what is the corresponding taxonomy classification code?
The North Dakota State Hospital's area of specialization is Rehabilitation, Substance Use Disorder, and the corresponding taxonomy code that categorizes this field of practice is 261Qr0405X.
On what date was the 1649227075 assigned to North Dakota State Hospital?
The North Dakota State Hospital was issued its 1649227075 on 2006-05-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the North Dakota State Hospital's details last updated?
The information pertaining to the North Dakota State Hospital, including its address, specialty, and other details, was most recently updated on 2020-12-10.