NORTHEAST HUMAN SERVICE CENTER NPI 1891808978

NPI Information

NPI: 1891808978
Provider Name: NORTHEAST HUMAN SERVICE CENTER

Other Name: RUTH MEIER'S PSYCHIATRIC RESEDENTIAL TREATMENT FACILITY

Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization

Address:
151 S 4TH ST STE 401
GRAND FORKS, ND
ZIP 58201
Phone: (701) 795-3000
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NORTHEAST HUMAN SERVICE CENTER is a residential treatment facility emotionally disturbed children in Grand Forks, ND. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. NORTHEAST HUMAN SERVICE CENTER NPI is 1891808978. The provider is registered as an organization entity type.
The provider Other Name Is Ruth Meier's Psychiatric Resedential Treatment Facility.

The provider's business location address is:

151 S 4TH ST STE 401
GRAND FORKS, ND
ZIP 58201-715
Phone: (701) 795-3000
Fax: (701) 795-3050

The provider's authorized official is Donna Aukland .
The authorized official title is Assistant Cfo - Dhs and has the following contact phone number (701) 328-4924.

The CLIA number assigned to this NPI record is 35D2281611 - other - prtf with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/16/2006 and was last updated on 12/10/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	322D00000X	Residential Treatment Facility, Emotionally Disturbed Children		1049	NORTH DAKOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	10330	OTHER	NORTH DAKOTA	BCBS ND PROVIDER NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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